ASPECTS OF ETIOPATHOGENY AND CLINICAL AND EVOLUTIVE CHARACTERISTICS OF ACUTE ACALCULOUS CHOLECYSTITIS

Objectives. Usual predisposing factors of acute acalculous cholecystitis are critical conditions, prolonged fasting, parenteral nutrition, sepsis. However, we notice an incidence of acute acalculous cholecystitis in several of our patients in the absence of these factors. This fact determined us to initiate this study. The aim of the study was to estimate the rate, clinical and evolutive characteristics of acute acalculous cholecystitis in order to identify the risk factors. Methods and materials. There were analyzed 142 cholecystectomized patients with acute cholecystitis. Acute acalculous cholecystitis was defined by: 1) absence of gallstones/biliary sludge at ultrasound examination; 2) intraoperative confirmation of acute acalculous cholecystitis; 3) diagnosis by morphological certification. The demographic, clinical and intraoperative parameters of the patients divided into 2 groups: I – acute acalculous cholecystitis and II – acute calculous cholecystitis were analyzed. Results. The acute acalculous cholecystitis criteria was met by 14 (9.9%) cases. The male/female ratio in acute acalculous cholecystitis was 11/3 compared to 49/79 in the group II (p