Perforation of the gallbladder: analysis of 19 cases
Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting c...
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| Veröffentlicht in: | Canadian Medical Association journal 1976-12, Vol.115 (12), p.1223-1225 |
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| container_title | Canadian Medical Association journal |
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| creator | Williams, N. F Scobie, T. K |
| description | Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting cardiac, pulmonary, renal, nutritional or metabolic disease. The duration of the present illness was short, perforation occurring within 72 hours of the onset of symptoms in half the patients; the diagnosis was not suspected preoperatively in any. In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur. |
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F ; Scobie, T. K</creator><creatorcontrib>Williams, N. F ; Scobie, T. K</creatorcontrib><description>Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting cardiac, pulmonary, renal, nutritional or metabolic disease. The duration of the present illness was short, perforation occurring within 72 hours of the onset of symptoms in half the patients; the diagnosis was not suspected preoperatively in any. In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur.</description><identifier>ISSN: 0008-4409</identifier><identifier>PMID: 1000456</identifier><language>eng</language><publisher>Canada: Can Med Assoc</publisher><subject>Adult ; Aged ; Cholecystectomy ; Cholecystitis - complications ; Female ; Gallbladder Diseases - complications ; Gallbladder Diseases - etiology ; Gallbladder Diseases - surgery ; Humans ; Male ; Middle Aged ; Peritonitis - etiology ; Rupture, Spontaneous ; Subphrenic Abscess - etiology</subject><ispartof>Canadian Medical Association journal, 1976-12, Vol.115 (12), p.1223-1225</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1878976/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1878976/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1000456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, N. F</creatorcontrib><creatorcontrib>Scobie, T. K</creatorcontrib><title>Perforation of the gallbladder: analysis of 19 cases</title><title>Canadian Medical Association journal</title><addtitle>Can Med Assoc J</addtitle><description>Perforation of the gallbladder occurred in 19 (3.8%) of 496 patients with acute cholecystitis treated at one hospital in an 8-year period. The average age of the 19 patients was 69 years and the female:male ratio was 3:2. Most had a history suggestive of gallbladder disease and most had coexisting cardiac, pulmonary, renal, nutritional or metabolic disease. The duration of the present illness was short, perforation occurring within 72 hours of the onset of symptoms in half the patients; the diagnosis was not suspected preoperatively in any. In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur.</description><subject>Adult</subject><subject>Aged</subject><subject>Cholecystectomy</subject><subject>Cholecystitis - complications</subject><subject>Female</subject><subject>Gallbladder Diseases - complications</subject><subject>Gallbladder Diseases - etiology</subject><subject>Gallbladder Diseases - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peritonitis - etiology</subject><subject>Rupture, Spontaneous</subject><subject>Subphrenic Abscess - etiology</subject><issn>0008-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkEFLwzAUx3NQ5px-BKEn8VJIk7RJPAgydAoDPeg5pM3LGknbmXSWfXsjG6Lw4B1-f37_xztBc4yxyBnD8gydx_iBMaEEsxmaFYmwspoj9grBDkGPbuizwWZjC9lGe197bQyE20z32u-jiz-wkFmjI8QLdGq1j3B53Av0_vjwtnzK1y-r5-X9Om-JZGNOaMMaBhUHY41poLIGqOWWkppKKQytWYW5JNzoUlAQ6VCCG2prKqTgsqELdHfwbnd1B8nQj0F7tQ2u02GvBu3Uf9K7Vm2GL1UILiSvkuD6KAjD5w7iqDoXG_Be9zDsohK0KivOyhS8-tv0W3H8U-I3B966TTu5ACp26UspXahpmoqiVAVJQyj9BjPDcPQ</recordid><startdate>19761218</startdate><enddate>19761218</enddate><creator>Williams, N. 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K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h294t-23c4c4e67edfddce6fde3f7f32b3998d3b4607927da583e844020c3fb389879c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1976</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cholecystectomy</topic><topic>Cholecystitis - complications</topic><topic>Female</topic><topic>Gallbladder Diseases - complications</topic><topic>Gallbladder Diseases - etiology</topic><topic>Gallbladder Diseases - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peritonitis - etiology</topic><topic>Rupture, Spontaneous</topic><topic>Subphrenic Abscess - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williams, N. F</creatorcontrib><creatorcontrib>Scobie, T. 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In the elderly patient with acute cholecystitis who has a long history of gallbladder disease, cholecystectomy should be performed early, before gangrene and perforation of the gallbladder can occur.</abstract><cop>Canada</cop><pub>Can Med Assoc</pub><pmid>1000456</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Canadian Medical Association journal, 1976-12, Vol.115 (12), p.1223-1225 |
| issn | 0008-4409 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Cholecystectomy Cholecystitis - complications Female Gallbladder Diseases - complications Gallbladder Diseases - etiology Gallbladder Diseases - surgery Humans Male Middle Aged Peritonitis - etiology Rupture, Spontaneous Subphrenic Abscess - etiology |
| title | Perforation of the gallbladder: analysis of 19 cases |
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