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Colecistitis alitiásica

Abstract
Spanish
English
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.