Article

Colecistitis aguda como causa de muerte tras cirugía por estenosis del canal lumbar

Revista de Ortopedia y Traumatología 06/2007; 51(3). DOI: 10.1016/S0482-5985(07)75543-8

ABSTRACT Post-surgical acute cholecystitis has been described mainly as a complication of major abdominal or thoracic surgery sometimes associated with musculoskeletal surgery. In spine surgery it has been related to large-scale procedures such as the correction of deformities in adults.
The most frequently mentioned risk factors are hydric restriction, fever, hemolytic phenomena, multiple blood transfusions, nutritional disorders, certain drugs (anesthetics, codeine. atropine, meperidine, morphine) and hemodynamic alterations. The risk is especially high when several of the factors above co-occur in a single patient subjected to a physically stressful situation like surgery.
Diagnosis of acute postoperative cholecystitis is often challenging since the condition is often marked by the initial surgical procedure. Symptoms like fever, leucocytosis and abdominal pain after a favorable immediate post-op should put us on guard.
Sonographic confirmation and the quick implementation of appropriate treatment are the only way of reducing the high death toll of this complication.

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