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Colecistite aguda

ბოლო მიმოხილვა: 13 Feb 2025
ბოლო განახლება: 14 Aug 2024

შეჯამება

განსაზღვრება

History and exam

Key diagnostic factors

  • episódio prévio de dor biliar
  • dor no quadrante superior direito
  • sinal de Murphy positivo
  • massa abdominal
Full details

Other diagnostic factors

  • dor no ombro direito
  • anorexia
  • náuseas
  • febre
  • vômitos
  • icterícia
Full details

Risk factors

  • cálculos biliares
  • sedentarismo
  • baixo consumo de fibras
  • doença grave
  • trauma
  • queimaduras graves
  • nutrição parenteral total (NPT)
  • diabetes
  • ceftriaxona
  • ciclosporina
  • embolização arterial hepática
  • infecções
Full details

Diagnostic investigations

1st investigations to order

  • Hemograma completo
  • proteína C-reativa
  • TFHs
  • ultrassonografia do quadrante superior direito
Full details

Investigations to consider

  • colecintigrafia (ácido iminodiacético hepatobiliar [HIDA])
  • tomografia computadorizada (TC) abdominal
  • ressonância nuclear magnética (RNM) abdominal
  • radiografia abdominal
Full details

Treatment algorithm

ACUTE

leve (grau I): estável, sem sinais de perfuração/gangrena

moderada (grau II): estável, com sinais de perfuração/gangrena

grave (grau III): suspeita de gangrena/perfuração ou evidência de disfunção orgânica

Contributors

Authors

Charles Bellows, MD

Professor of Surgery

University of New Mexico

School of Medicine

Albuquerque

NM

Disclosures

CB is an author of one study referenced in this topic. CB declares that he has no other competing interests.

Peer reviewers

Satyajit Bhattacharya, LVO, MB, MS, MPhil, FRCS

Consultant Surgeon

HPB Surgery Unit

The Royal London Hospital

London

UK

Disclosures

SB declares that he has no competing interests.

Stefano Guandalini, MD

Professor of Pediatrics

Chief

Division of Gastroenterology, Hepatology, and Nutrition

University of Chicago Comer Children's Hospital

Chicago

IL

Disclosures

SG declares that he has no competing interests.

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