[Incarcerated gallbladder in cholecystitis].
Among 206 examined patients with cholecystitis and similar diseases in 112 (65%) cases, as evidenced by the authors' findings, the gallbladder proved to be non-functioning. Its escape in the biliary system was functional (indirect) or organic (absolute). The main causes of a direct organic escape of the gallbladder are as follows: destructive changes in its walls, strictures, strangulated gall stones, shrinkage or hydropsy. The reliable preoperative diagnosis of an escaped gallbladder by means of accelerated chromoduodenal catheterization, intravenous (infusion-drip) or associated (intravenous-peroral) cholecystocholangiography, correlated with the anamnesis data and clinical signs, rather speaks in favour of cholecystectomy on absolute indications.
D000208:Acute Disease; D001646:Bile / Q000032:analysis; D002764:Cholecystitis / Q000175:diagnosis / Q000503:physiopathology*; D002765:Cholecystography / Q000379:methods; D002779:Cholestasis / Q000175:diagnosis; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004724:Endoscopy / Q000379:methods; D005704:Gallbladder / Q000503:physiopathology*; D006801:Humans; D006863:Hydrogen-Ion Concentration; D009929:Organ Size; D010195:Pancreatitis / Q000175:diagnosis
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