ACUTE NONCALCULOUS CHOLECYSTITIS

Abstract
It is our purpose in this study to report those cases of acute noncalculous cholecystitis which have come under our observation in the past ten years. Certain distinguishing characteristics of the syndrome will be described and attention will be drawn to a possible hematogenous origin from some extrabiliary focus of infection. Although gallbladder disease has been thoroughly discussed in the literature, little mention has been made of acute noncalculous cholecystitis. Judd and Phillips1reported 508 cases of acute gallbladder disease in which twenty-four, or 4.7 per cent, of the patients had no stones. In Blalock's2series, 4 per cent of 136 noncalculous cases presented a microscopic diagnosis of acute cholecystitis. Of Whipple's3160 cases of acute cholecystitis, thirty patients had no stones. Mentzer4described thirty-eight cases of gangrenous cholecystitis, of which ten were noncalculous. None of these authors, however, discussed the importance of the noncalculous form

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