Colecistitis eosinofílica: causa infrecuente de colecistitis aguda Las pruebas de imagen evidenciaban una colecistitis alitiásica, tras lo cual se realizó una. de problemas clínicos tales como la colecistitis aguda, apendicitis aguda y liar causa dolor y la interrupción refleja de la inspiración que es el signo de. Meaning of colecistitis in the Spanish dictionary with examples of use. cutánea es una alternativa útil en pacientes can colecistitis aguda litiásica y alto riesgo.

Author: JoJolrajas Mezijar
Country: Burma
Language: English (Spanish)
Genre: Health and Food
Published (Last): 23 January 2016
Pages: 220
PDF File Size: 4.88 Mb
ePub File Size: 7.11 Mb
ISBN: 808-6-54922-391-2
Downloads: 96173
Price: Free* [*Free Regsitration Required]
Uploader: Yotaxe

After surgery, the patient was asymptomatic and was discharged a few days later.

Meaning of “colecistitis” in the Spanish dictionary

Rev Esp Enferm Dig ; Eosinophilic cholecystitis is an uncommon condition of the gallbladder. Laboratory analysis revealed the following alterations: It can be considered an inflammatory condition of the gallbladder, in which the inflammatory infiltrate consists primarily of eosinophils 1. The presence of choluria was also reported. Thin-walled acalculous gallbladder; non-dilated bile duct; no evidence of pancreatic abnormalities.

A case report and review of literature. The pathology examination revealed the presence of a transmural infiltration, and of a more intense infiltration in the muscular layer, by eosinophilic polynuclear leukocytes Fig. Its aetiology is often unknown, although cases have been associated with hyper-eosinophilic syndrome, parasitosis, infections, drugs and medicinal herbs. When ljtiasica effect is limited to the bladder, ed treatment of choice is cholecystectomy, and the prognosis is usually favourable.

It has also been hypothesised that EC may be caused by hypersensitivity to bile acids 2,3. When imaging tests revealed acalculous cholecystitis, an urgent cholecystectomy was performed. The importance of EC lies in the fact that it can be associated with atuda diseases, and therefore, when it is observed, colecistitjs associated syndromes should be investigated.

We report the case of a woman aged 24 years, with symptoms of fever, vomiting and pain wguda the right upper quadrant. The patient’s clinical condition was worsening and presence of cholecystitis was suspected, and so an urgent cholecystectomy was performed, which revealed a thickened gallbladder wall with oedema on the rear surface.


Histological examination of the surgical specimen revealed eosinophilic cholecystitis.

During admission, abdominal and cholangio MRI were performed to assess the bile duct, obtaining the following results: There were no colecistitiz suggestive of perforation or pancreatitis. A CT scan may reveal similar features, with perivesicular oedema or decreased attenuation in the adjacent liver, indicative of perihepatitis Further analyses were performed, which revealed increased total bilirubin, decreased direct bilirubin, increased leukocytosis, colecistutis C-reactive protein, and normal levels of amylase, transaminases and cholestatic enzymes.

Treatment with corticosteroids can be effective when the causws ducts are affected, or when the condition is associated with eosinophilic gastroenteritis.

Introduction Eosinophilic cholecystitis is an uncommon condition of the gallbladder. It is characterised by an inflammatory infiltrate constituted mainly of eosinophils. Diagnosis is histological and usually performed after analysis of the surgical specimen. Multidetector CT of emergent biliary pathologic conditions.

EC does not present any clinical or laboratory manifestation to distinguish it from common cholecystitis, and so it is difficult to detect prior to cholecystectomy and histological examination of the surgical specimen. Ann Clin Lab Sc ; In imaging tests, ultrasound results may be normal or show signs suggestive of cholecystitis gallbladder distension, wall thickening, perivesicular liquid or sonographic Murphy sign.

The Internet Journal of Surgery. Other results of the examination were normal.

COLECISTITIS – Definition and synonyms of colecistitis in the Spanish dictionary

Discussion Eosinophilic cholecystitis EC is a rare and poorly understood disease of the gallbladder, which was first described in Hospital Universitario San Cecilio. Physical examination revealed good general condition, with cutaneous-mucous jaundice and tenderness in the right upper quadrant, and a positive Murphy sign.

The patient had malaise, with increased pain despite analgesia, and painful abdominal tenderness, with a tightening in the litiasuca right upper quadrant. Eosinophil inflammatory reaction in isolated organs.

Indian J Gastroenterol ; Xausas report A year-old woman presented to the emergency department complaining of abdominal pain, located in the epigastrium and radiating to the right upper quadrant, together with nausea, vomiting and fever of 39 o C for the past two days. An infrequent cause of acute cholecystitis.


Cases have also been reported secondary to infections, parasitosis, allergies, hyper-eosinophilic syndrome, eosinophilia-myalgia syndrome, eosinophilic gastroenteritis, drugs and herbal medicines 4,5. It is generally accepted that EC should not be considered a separate entity, because the clinical and laboratory manifestations are indistinguishable from those of common cholecystitis, and therefore it is considered more a histological finding than a pathology in itself.

Idiopathic eosinophilic cholecystitis with cholelithiasis: The aetiology of EC is unknown. Digestive Diseases Clinical Management Unit. In patients with eosinophilic infiltrate affecting other organs and tissues, it has been suggested that these lesions could be litiasuca to a local allergic reaction caussas substances released at sites of inflammation within the target organ or tissue.

Litiasis biliar ¿conducta expectante o intervención? – Artículos – IntraMed

An infrequent cause of cholecystectomy. Clinically, it is indistinguishable from common cholecystitis, although peripheral eosinophilia is sometimes observed, as is the case in hyper-eosinophilic syndrome and parasitic disease. Clinical and laboratory manifestations do not differ from those of other causes of cholecystitis. No cause of csusas symptoms was found. Eosinophilic cholecystitis, with a review of the literature.

Eosinophilic and lympho-eosinophilic cholecystitis. She smoked about five cigarettes per day and was a habitual consumer of oral contraceptives. In the absence of evident causes, we consider the present case to be an idiopathic EC 6. EC is three times more common in patients with acalculous cholecystitis than in patients with cholelithiasis 6. The patient had no personal or family history of interest.

Peripheral eosinophilia may or may not be present; when it is, it has been associated with hyper-eosinophilic syndrome, eosinophilic gastroenteritis and parasitosis. A year-old woman presented to the emergency department complaining of abdominal pain, located in the epigastrium and radiating to the right upper quadrant, together with nausea, vomiting and fever of 39 o C for the past two days.