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One hundred and fifty-three gall bladder disease (GBD) cases operated on at the Hospital Universitario del Valle, Cali, Colombia, in 1983 were reviewed. Of the patients, 61% were older than 40; the female/male ratio was 5:1. Right upper quadrant pain was the most frequent symptom and sign. Leucocytosis was present in 35% of patients and jaundice in 15%. Due to the high proportion of false positive cases leading to unnecessary GBD exploration with high morbimortality, oral cholecystography was performed in 50% of cases and echography in 26.8%. Different stages of acute cholecystitis were found in 45% of patients. The normal gall bladder was removed in 3% of cases. Acalculous cholecystitis appeared in 9.2% of cases. The most frequently isolated bacteria were E. coli and Klebsiella pneumoniae. Subhepatic drainage was performed in only 5% of cases. Postoperative complications were present in 13% of cases, and the most frequent were: wound infection and unrecognized GBD stones.

Olga Lucía Rojas, Docente Adjunto, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, colombia

Docente Adjunto, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Armando Gonzáles, Profesor Titular, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Profesor Titular, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Edilberto Gómez, Profesor Asistente, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Profesor Asistente, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Edgar Torres, Profesor Asociado, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Profesor Asociado, Departamento de Cirugía, Facultad de Salud, Universidad del Valle, Cali, Colombia

Rojas, O. L., Gonzáles, A., Gómez, E., & Torres, E. (1988). Vesicular disease: diagnosis and treatment. Colombia Medica, 19(1), 17–21. https://doi.org/10.25100/cm.v19i1.6196

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