This study is developed as a retrospective study; from all
patients at the out-patient clinic at the General Hospital Dr.
Gustavo A. Rovirosa Pérez from january 1994, through
december 1997, all patients wit clinical diagnosis of alitiasic
colecystitis were included, this patients were programed for
surgery and two groups were integrated, one with clinical
and laboratorial diagnosis of litiasic cronic colecystitis,which was considered as a control group and the study
group with alitiasic colecystitis. During this period out of
400 patients admited to the clinic, 113 were male, 287
females, 61 cases were included in the acalculous colecytitis
group: from these, 14 males and 47 females, age ranged
from 18 years thorugh 75 for an average of 35.4 years of
age + 13.6 SD . For this group compared with a 36.1 years
average for the control group + 13.2 SD (p=NS). Clinically
this group presented with pain, tipically located in 43% of
cases (p<0.005), Murphy sign was present in the mayority
of cases, less frequently the intolerance to colecystokinetic
food. No differences in presence of a mass, fever, jaundice
peritoneal irritation symptoms or clinical lab reports.
Adenomiosis was found at 8.2% in CA group and 2.6 in
CCL group p<0.05, this finding could be incidental because
it is asymptomatic.
The surgical treatment with removal of the gallbladder
results in relief of symptoms (biliary colic) without stones
or evidence of other associated diseases.