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Acute cholecystitis after orthopaedic operations

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Summary

When acute cholecystitis follows orthopaedic operations, the disease is frequently obscure and fulminating, with rapid progress to gangrene and perforation of the gallbladder, which may be fatal. Three cases are reported and the literature is reviewed. Various aspects of the disorder are discussed. It is important that orthopaedic surgeons should be aware of the condition in order to be able to make an early diagnosis and so prevent a lethal outcome.

Résumé

Lorsqu'une cholécystite survient après une intervention orthopédique, elle est souvent à la fois masquée et suraigüe, évoluant rapidement vers la gangrène et la perforation de la vésicule, et pouvant être fatale. Les auteurs en rapportent trois cas et font une révision de la littérature sur ce sujet. Ils discutent les différents tableaux cliniques de cette complication. Il est important que les chirurgiens orthopédistes soient au courant de cette éventualité, de façon à en faire rapidement le diagnostic et d'éviter ainsi une évolution mortelle.

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References

  1. 1.

    Chen PS, Aliapoulios MA (1978) Acute acalculous cholecystitis. Ultrasonic appearance. Arch Surg 113: 1461–1462

  2. 2.

    Devine RM, Farnell MB, Mucha P (1984) Acute cholecystitis as a complication in surgical patients. Arch Surg 119: 1389–1393

  3. 3.

    Doty JE, Pitt HA, Porter-Fink V, Denbesten L (1985) Cholecystokinin prophylaxis of parenteral nutrition-induced gallbladder disease. Ann Surg 201: 76–80

  4. 4.

    Duncan J (1844) Femoral hernia; gangrene of gallbladder; extravasation of bile; peritonitis; death. North J Med 2: 151–153

  5. 5.

    Felice PR, Trowbridge PE, Ferara JJ (1985) Evolving changes in the pathogenesis and treatment of the perforated gallbladder. A combined hospital study. Am J Surg 149: 466–473

  6. 6.

    Glenn F (1947) Acute cholecystitis following the surgical treatment of unrelated disease. Ann Surg 126: 411–420

  7. 7.

    Glenn F (1979) Acute acalculous cholecystitis. Ann Surg 189: 458–465

  8. 8.

    Glenn F, Becker CG (1982) Acute acalculous cholecystitis. Ann Surg 195: 131–136

  9. 9.

    Glenn F, Wantz GE (1956) Acute cholecystitis following the surgical treatment of unrelated disease. Surg Gynecol Obstet 102: 145–153

  10. 10.

    Howard JM, Milford MT, DeBakey ME (1952) The significance of the sympathetic nervous system in acute cholecystitis. Surgery 32: 251–258

  11. 11.

    Howard RJ (1981) Acute acalculous cholecystitis. Am J Surg 141: 194–198

  12. 12.

    Kaplan MH, Wheeler WF, Kelly MJ, Breaux FW (1983) Stress and diseases of the upper gut; III. Gallbladder disease. Mt Sinai J Med 50: 398–399

  13. 13.

    Kasahara Y, Umemura H, Kuyama T, Oku H (1978) Postoperative acute cholecystitis in Japan. World J Surg 2: 661–666

  14. 14.

    Knudson RG, Zuber WF (1963) Acute cholecystitis in the postoperative period. N Engl J Med 269: 289–292

  15. 15.

    Lindberg EF, Grinnan GLB, Smith L (1970) Acalculous cholecystitis in Vietnam casualties. Ann Surg 171: 152–157

  16. 16.

    Ottinger LW (1976) Acute cholecystitis as a postoperative complication. Ann Surg 184: 162–165

  17. 17.

    Schein CJ (1973) Acute cholecystitis. Harper and Row, New York, 1st edn, pp 213–215

  18. 18.

    Schwegman CW, deMuth WE Jr (1952) Acute cholecystitis following operation for unrelated disease. Surg Gynecol Obstet 97: 167–172

  19. 19.

    Sparkman RS (1952) Abdominal emergencies following unrelated surgical procedures. Ann Surg 135: 863–874

  20. 20.

    Thompson JW, Ferris DO, Baggenstoss AH (1962) Acute cholecystitis complicating operation for other disease. Ann Surg 155: 489–494

  21. 21.

    Vest SA Jr (1933) Gangrene of the gallbladder. Internat Surg Digest 15: 131–160

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Correspondence to J. Abrahamson.

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Abrahamson, J., Eldar, S. Acute cholecystitis after orthopaedic operations. International Orthopaedics 12, 93–95 (1988). https://doi.org/10.1007/BF00265749

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Key words

  • Postoperative acute cholecystitis
  • Orthopaedic surgery