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Abstract
- 1.1. Two hundred cases of acute cholecystitis have been reviewed showing a mortality of 11.5 per cent.
- 2.2. A leucocyte count of over 10,000 generally means an acute condition. If above 15,000 one can expect an empyema, and over 18,000 gangrene of the gall bladder.
- 3.3. If the “acute indigestion” is not relieved within forty-eight hours and the temperature rises, or the leucocyte count goes up, where there is local tenderness over the gall-bladder area with or without rigidity, operation should be done.
- 4.4. A chronic or recurring case of cholecystitis, with or without stone, should not go so long, as shown by the results of delay.
- 5.5. The type of operation, when possible, should be cholecystectomy.
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References
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- Acute infections of the gall bladder and biliary tract.Bull. N. Y. Acad. Med. 1931; 7 (March): 211-220
- The value of early operation for acute cholecystitis.Ann. Surg. 1931; 93: 11-52
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© 1935 Published by Elsevier Inc.
