PECULIARITIES OF CLINICAL COURSE OF ACUTE CALCULOUS CHOLECYSTITIS

Abstract

Introduction. Rational approaches to the diagnosis and tactics of surgical treatment of acute cholecystitis have resulted in the cut down in postoperative mortality. Despite the frequent occurrence of acute cholecystitis in everyday practice, interest in the problem of its treatment does not fade. With such an extensive and comprehensive investigation of this issue, the availability of international and national recommendations, nevertheless, there are some unresolved issues, including, in particular, the problem of the treatment of acute calculous cholecystitis, the peculiarities of its diagnosis and clinical course. The aim of the study is to elucidate the peculiarities of the clinical course of acute calculous cholecystitis. Methods. We analyzed the findings of diagnostic procedures of 209 patients who received inpatient treatment for uncomplicated acute calculous cholecystitis at the surgical department of the Malovyskivska Central District Hospital, Kirovograd region, from 2016 to 2021. The age of all patients ranged from 18 to 89 years. Results. Ultrasound examination of the abdominal organs plays an important role in the diagnosis of acute and chronic cholecystitis in everyday practice. The patients indicated a history of attacks of hepatic colic, mechanical jaundice. Having analyzed the anamnesis data, we determined the duration of cholelithiasis and the duration of acute calculous cholecystitis in the participants. The most typical symptom of acute cholecystitis was constant or paroxysmal pain with localization in the right hypochondrium. Conclusions. The course of acute calculous cholecystitis in the patients is characterized by a polymorphic clinical picture, its severity is less pronounced due to the depth of pathomorphological changes in the gallbladder wall. Complications of acute calculous cholecystitis produce a significant impact on the course of the disease, moreover, the severity of the systemic inflammatory reaction and concomitant pathology of the patients ' condition is also predetermined by the presence of concomitant pathology.