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Posttraumatic Acalculous Cholecystitis

Isidore Mandelbaum, MD; Robert M. Palmer, MD
Arch Surg. 1968;97(4):601-604. doi:10.1001/archsurg.1968.01340040097019.
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ACUTE cholecystitis has been reported following operative procedures not related to the gallbladder.1-9 To the best of our knowledge, acalculous cholecystitis following traumatic injury not involving the gallbladder and without antecedent surgery has not been reported. It is the purpose of this paper to present two patients in whom acute cholecystitis developed after severe injury to the pelvis. Their clinical courses and the pathologic findings will be compared with those of patients who have had postoperative cholecystitis following surgery for conditions unrelated to the gallbladder.

Report of Cases  Case 1.—A 50-year-old construction worker fell approximately 30 feet from a scaffolding on June 29, 1965. When he was admitted to the hospital six hours later, the pulse rate and blood pressure were unobtainable. There was a puncture wound over the left side of the sacrum, which extended to the sacral wing. The abdomen was soft and nontender. Peristaltic sounds were


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