Gangrenous cholecystitis in an urban VA hospital

Alan K. Wilson, Robert Kozol, Walter A. Salwen, L. Joan Manov, Steven D. Tennenberg

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Gangrenous cholecystitis is an advanced form of acute cholecystitis associated with increased morbidity and mortality. We sought to determine the incidence of gangrenous cholecystitis in an urban VA hospital patient population and identify any distinguishing characteristics that may aid in its preoperative diagnosis. We retrospectively reviewed all urgent admissions that underwent cholecystectomy (n = 65) over the past 7 years at the Allen Park VAMC. Using histologic criteria, 17 (26%) of these patients had gangrenous cholecystitis. As a group compared to patients with nongangrenous cholecystitis, patients with gangrenous cholecystitis were statistically older (64 vs 54) and had an elevated WBC (15.4 vs 11.5) and increased serum glucose levels (203 vs 141). Preoperative imaging studies (ultrasound and cholescintigraphy) correctly identified only 31% of the gangrenous cholecystitis patients. We conclude that in an urban VA hospital patient population, the diagnosis of gangrenous cholecystitis cannot be accurately made or ruled out among urgent admissions with acute biliary disease. Considering the high incidence (26%) and difficulty confirming the diagnosis of gangrenous cholecystitis in this setting, we recommend early surgical intervention for this and similar patient populations.

Original languageEnglish
Pages (from-to)402-404
Number of pages3
JournalJournal of Surgical Research
Volume56
Issue number5
DOIs
StatePublished - Jun 3 1994
Externally publishedYes

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Cholecystitis
Urban Hospitals
Population
Acute Cholecystitis
Incidence
Cholecystectomy
Acute Disease
Ultrasonography
Morbidity
Glucose
Mortality
Serum

ASJC Scopus subject areas

  • Surgery

Cite this

Wilson, A. K., Kozol, R., Salwen, W. A., Manov, L. J., & Tennenberg, S. D. (1994). Gangrenous cholecystitis in an urban VA hospital. Journal of Surgical Research, 56(5), 402-404. https://doi.org/10.1006/jsre.1994.1064

Gangrenous cholecystitis in an urban VA hospital. / Wilson, Alan K.; Kozol, Robert; Salwen, Walter A.; Manov, L. Joan; Tennenberg, Steven D.

In: Journal of Surgical Research, Vol. 56, No. 5, 03.06.1994, p. 402-404.

Research output: Contribution to journalArticle

Wilson, AK, Kozol, R, Salwen, WA, Manov, LJ & Tennenberg, SD 1994, 'Gangrenous cholecystitis in an urban VA hospital', Journal of Surgical Research, vol. 56, no. 5, pp. 402-404. https://doi.org/10.1006/jsre.1994.1064
Wilson AK, Kozol R, Salwen WA, Manov LJ, Tennenberg SD. Gangrenous cholecystitis in an urban VA hospital. Journal of Surgical Research. 1994 Jun 3;56(5):402-404. https://doi.org/10.1006/jsre.1994.1064
Wilson, Alan K. ; Kozol, Robert ; Salwen, Walter A. ; Manov, L. Joan ; Tennenberg, Steven D. / Gangrenous cholecystitis in an urban VA hospital. In: Journal of Surgical Research. 1994 ; Vol. 56, No. 5. pp. 402-404.
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