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Epidemiologie und Klinik der akuten Cholezystitis

Epidemiology and clinical presentation of acute cholecystitis

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Zusammenfassung

Die akute Cholezystitis ist die häufigste Komplikation der Cholezystolithiasis und zählt mit gut 64.000 stationär behandelten Patienten pro Jahr zu den relevanten chirurgischen Krankheitsbildern. Sie kann mild verlaufen, aber auch lebensbedrohliche Formen annehmen, wovon v. a. alte und vorerkrankte Patienten betroffen sind. Eine Komplikationsform ist die Gallenblasenperforation, die überwiegend erst intraoperativ augenscheinlich wird. Als klassische Trias der akuten Cholezystitis können plötzlich einsetzender Oberbauchschmerz, Fieber und Leukozytose bezeichnet werden. Der klinische Verdacht lässt sich meist durch eine Sonographie bestätigen.

Abstract

Acute cholecystitis is the most common complication of cholecystolithiasis. With some 64,000 patients per year requiring surgical inpatient treatment it remains a prevalent surgical disease. The presentation varies between mild, severe and life-threatening forms and predominantly in old and morbid patients. Gallbladder perforation is a possible complication which is often only diagnosed during surgery. Typical clinical symptoms are pain in the upper abdomen, fever and leucocytosis. Ultrasonography may often be used to confirm the clinical diagnosis.

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  1. Klinik für Allgemein- und Viszeralchirurgie, Schwerpunkt für endokrine und onkologische Chirurgie, Diakoniekrankenhaus Henriettenstiftung Hannover, Marienstr. 72–90, 30171, Hannover, Deutschland

    K. Götzky & J. Jähne

  2. Klinik für Diagnostische und Interventionelle Radiologie, Diakoniekrankenhaus Henriettenstiftung Hannover, Hannover, Deutschland

    P. Landwehr

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  1. K. Götzky
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  3. J. Jähne
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Correspondence to K. Götzky.

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Götzky, K., Landwehr, P. & Jähne, J. Epidemiologie und Klinik der akuten Cholezystitis. Chirurg 84, 179–184 (2013). https://doi.org/10.1007/s00104-012-2355-1

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