Coleperitoneus Secondary to Acute Alitiasal Cholecystitis: A Case Report

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Publicado: fev 28, 2020
DOI: https://doi.org/10.14295/aimj.v4i8.100

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Whallyson Pinheiro Mascarenhas
Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil
Stenio Santos Moura
Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,
Lucas Benevides Maia
Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,
Pedro Hugo Bezerra Maia Filho
Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,
Mondeyv de Freitas Pascoal
Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil,
Francisco Felippe Araújo Rolim
Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil

Resumo

Acute cholecystitis is one of the main causes of medical care in emergencies around the world. It is defined as inflammation of the gallbladder caused mainly by obstruction of the cystic duct by stones. In a small number of patients, the inflammatory process can develop in the absence of stones, receiving the name of alitiásic cholecystitis, having a faster evolution and often evolving with perforation. Acute alitiásic cholecystitis (AAC) corresponds to 15% of cases of acute cholecystitis and mainly affects patients in severe condition and with comorbidities. Its pathophysiology is still little known, but ischemia and stasis are identified as the main causes. Its high mortality is related to biliary peritonitis due to coleperitoneum. A patient admitted to the emergency department of Hospital Regional do Cariri with acute inflammatory abdomen was diagnosed with coleperitoneum, due to AAC complication, and underwent urgent laparoscopic cholecystectomy, with good clinical evolution in the postoperative period and early return to his activities.


Keywords: acute cholecystitis, coleperitoneum, cholecystectomy

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Mascarenhas, W. P., Moura, S. S., Maia, L. B., Maia Filho, P. H. B., Pascoal, M. de F., & Rolim, F. F. A. (2020). Coleperitoneus Secondary to Acute Alitiasal Cholecystitis: A Case Report. Amadeus International Multidisciplinary Journal, 4(8), 19–24. https://doi.org/10.14295/aimj.v4i8.100
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v. 4 n. 8 (2020)
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Case Report

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Biografia do Autor

Whallyson Pinheiro Mascarenhas, Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil

1 Residente Cirurgia Geral- Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil, whallyson10@hotmail.com;

Stenio Santos Moura, Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,

2 Residente Cirurgia Geral- Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil, stenio_moura33@hotmail.com;

Lucas Benevides Maia, Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,

3 Residente Cirurgia Geral- Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil, benevides973@hotmail.com;

Pedro Hugo Bezerra Maia Filho, Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil,

4 Residente Cirurgia Geral- Hospital Regional do Cariri, Juazeiro do Norte-CE, Brasil, pedrohugomaia@hotmail.com;

Mondeyv de Freitas Pascoal, Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil,

5 Cirurgião do Aparelho Digestivo e Coordenador da Residência de Cirurgia Geral do Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil, mondeyv@gmail.com;

Francisco Felippe Araújo Rolim, Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil

6 Cirurgião Geral e Professor da Residência de Cirurgia Geral no Hospital Regional do Cariri – HRC. Juazeiro do Norte, CE – Brasil, felippe.rolim1@gmail.com

 

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