SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : EMPYEMA OF THE GALLBLADDER (EMPIEMA VESICAE FELLEAE) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Cm. Hydrops of the gallbladder. When virulent infection after absorption of bile is a secretion of the wall of the bubble of pus, filling his purulent exudate and stretching.
Symptoms. an acute attack of cholecystitis, usually with pronounced clinical symptoms (intense pain, radiating to the shoulder and scapula, temperature 38 - 39º). Local muscle tension, soreness of the liver, sometimes subikterichnost. The attack does not end there. the pain remains, the temperature may be somewhat reduced, but not completely eliminated, muscle tension is kept. Proschupyvayutsya gallbladder has no tendency to decrease, increase, stretched pus.
Over and complication. Perforation and Microperforation with subsequent spilled peritonitis, pericholecystic with flegmonoznami process in circumference bladder perforation in the abdominal cavity.
Treatment see liver Disease, Cholecystitis. Only patients with hepatic colic and with uncomplicated acute cholecystitis are subject to a therapeutic treatment. In all other cases, surgical treatment.