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Acute cholecystitis and its local complications in patients of the hospital vicente corral moscoso

Abstract:

Objective: To determine the local complications prevalence of acute cholecystitis and its bacteriological association in cholecystectomized patients from the Hospital Vicente Corral Moscoso. Methodology: a descriptive, non-experimental, cross-sectional study was conducted in 149 patients with acute cholecystitis who underwent cholecystectomy during the period June 2010 to May 2011, the data were obtained through a complete clinical history and a microbiological analysis was performed, bile for bacterial identification. Results: Of the 149 patients, 75.8% (n=113) were female, the main proportion of subjects was <40 years, the lithiasic etiology was present in 94.6% and 63.1% was operated on 72 hours after the onset of symptoms. The main isolated bacterium was E. coli with 32.2% and the most frequent complications were emphysematous cholecystitis (29.5%) and pyocolecisto (28.2%). Conclusions: Acute cholecystitis is a high frequency pathology in the Hospital Vicente Corral Moscoso, with an important percentage of complications, the emphysematous cholecystitis and the pyocolecisto being the main ones evidenced. Regarding microbiological persective, E. coli was the most frequent isolated bacterium in the biliary tree.