Diagnostic and emergency assistance to the syndrome of "acute abdomen"



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ACUTE CHOLECYSTITIS

  • ACUTE CHOLECYSTITIS
  • Acute cholecystitis - an acute inflammation of the gallbladder.
  • ETIOLOGY AND PATHOGENESIS
  • The main causes of acute cholecystitis:
  • cholelithiasis;
  • Violation of the vascularization of the gallbladder, bile ducts and duodenum;
  • lymphatic, hematogenous, or contact infection of the gallbladder.

CLASSIFICATION

  • CLASSIFICATION
  • Acute cholecystitis is divided into:
  • catarrh;
  • abscess;
  • gangrenous.
  • On prehospital stage the differential diagnosis of these forms is not always possible, so appropriate
  • distinguish two groups of patients:
  • patients with acute cholecystitis complicated;
  • patients with acute uncomplicated cholecystitis.
  • Among the complicated forms of acute cholecystitis release:
  • jaundice;
  • suppurative cholangitis;
  • peritonitis;
  • aboutcystic infiltration and abscess;
  • empyema of the gall bladder;
  • perforation;
  • combination with acute pancreatitis;
  • biliary fistula.

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