title: [Acute non-calculous cholecystitis in non-hospitalized patients].
abstract: The increase of acute acalculous cholecystitis (AAC) in out-patients produces the review of clinic files of 810 cases of cholecystectomy because of acute cholecystitis; 27 were acalculous (3.3%). AAC was predominant in female sex (20/27) in which the mean age was 37 years. In twelve patients (44%) the cholecystitis was associated with diabetes and hypertension. The clinical manifestations were similar to patients with cholelithiasis and preoperative diagnosis was made in only 33% by ultrasonography. The surgical findings were: Edematous gallbladder without stones, wall thickness and necrosis, as well as perivesicular adherences. In all patients the treatment was immediate cholecystectomy, with morbidity of 14.4% and no mortality. AAC is not only present in critically ill patients, but also is present in patients not hospitalized, and immediate cholecystectomy is the treatment of choice.
authors.affiliation: Servicio de Cirugía General del Hospital General de Zona No. 1 Gabriel Mancera, Instituto Mexicano del Seguro Social (IMSS), México.
authors.forename: G G
authors.initials: GG
authors.lastname: Valdivia-Gómez
authors.forename: R
authors.initials: R
authors.lastname: Suárez
authors.forename: M A
authors.initials: MA
authors.lastname: Chavelas-Lluck
authors.forename: M
authors.initials: M
authors.lastname: Caneda-Mejía
authors.forename: I
authors.initials: I
authors.lastname: Zaga-Minian
mesh_terms: D000208:Acute Disease; D000328:Adult; D002764:Cholecystitis / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male
vernacular_title: La colecistitis alitiásica aguda (CAA) en pacientes no hospitalizados.