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Cholécystite alithiasique en réanimation

Cholécystite alithiasique en réanimation

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GENERALITES<br />

• Incid<strong>en</strong>ce variable ( 0 à 18% selon les séries)<br />

• 10% total des CA<br />

• 90% des cholécystites <strong>en</strong> <strong>réanimation</strong><br />

• Diagnostic difficile, souv<strong>en</strong>t retardé<br />

• Diagnostic définitif anatomo-pathologique<br />

• Morbi-mortalité élevée (30 à 50%)<br />

LONG Am J Surg 1979<br />

BARIE PS. Acute acalculous cholecystitis. J Am Coll Surg 1995<br />

BARIE PS. Acute acalculous cholecystitis.Curr Gastro<strong>en</strong>terol Rep. 2003<br />

BODIN L. <strong>Cholécystite</strong> aiguë postopératoire. MAPAR 1997<br />

RADY MY. Perioperative predictors of acute cholecystitis after CV surgery. CHEST 1998<br />

PELINKA. Acute acalculous cholecystitis after trauma: a prospective study. J Trauma 2003

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