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Acalculous CholecystitisAka: Biliary Dyskinesia
- Epidemiology
- Incidence: 5-10% of patients with Acute Cholecystitis
- Risk factors
- Elderly
- Diabetes Mellitus
- Multiple trauma
- Extensive burn injury
- Prolonged labor
- Major surgery
- Gallbladder torsion
- Systemic Vasculitis
- Biliary tract infection (Bacterial or parasitic)
- Symptoms and Signs
- Indistinguishable from calculous Acute Cholecystitis
- Patient ill on initial presentation
- Diagnostics
- RUQ Ultrasound or CT Abdomen
- Large, tense, static gallbladder
- No evidence of Gallstones
- Radionuclide Cholescintography (HIDA scan)
- Poor gallbladder filling
- Gallbladder ejection fraction <50%
- Management
- Cholecystectomy
- Offers satisfactory symptom relief in 96% of cases
- Brosseuk (2003) Am J Surg 186:1
Biliary Dyskinesia (C0005416)
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| Definition (MSH) | A motility disorder characterized by biliary COLIC, absence of GALLSTONES, and an abnormal GALLBLADDER ejection fraction. It is caused by gallbladder dyskinesia and/or SPHINCTER OF ODDI DYSFUNCTION. |
| Concepts | Disease or Syndrome (T047)
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| ICD9 | 575.8 |
| English | Biliary Dyskinesia, Biliary Dyskinesias |
| Spanish | discinesia biliar, disquinesia biliar |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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Acalculous Cholecystitis (C0267841)
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| Definition (MSH) | Inflammation of the GALLBLADDER wall in the absence of GALLSTONES. |
| Concepts | Disease or Syndrome (T047)
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| English | Acalculous Cholecystitis, ACALCULOUS GALLBLADDER INFLAMM, Acalculous Gallbladder Inflammation, Cholecystitis without calculus, GALLBLADDER INFLAMM ACALCULOUS |
| Spanish | colecistitis alitiásica, colecistitis alitiasica, colecistitis sin cálculos, colecistitis sin calculos |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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