| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000183838 |
| ISSN: | 0100-6991 |
| Authors: | Ivano, Flavio Heuta1 Bergonse Neto, Nelson Zoccola, Francisco Mario |
| Institutions: | 1Santa Casa de Misericordia de Curitiba, Servico de Cirurgia Geral e do Aparelho Digestivo, Curitiba, Parana. Brasil |
| Year: | 2000 |
| Season: | Sep-Oct |
| Volumen: | 27 |
| Number: | 5 |
| Pages: | 345-346 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Aplicado, caso clínico |
| English abstract | Cardiac transplant has been performed with an increased frequency as the treatment for end-stage cardiac disease. Although cholelithiasis is more frequent in both pretransplant and posttransplant patients, no standard management approach exists. Pretransplant patients are well recognized for cardiac events, and posttransplant immunossupressed patients are at a considerable risk for septic complications. Because the first presentation of gallstones in this population is often acute cholecystitis, asymptomatic calculi cannot be considered benign and it seems reasonable to recommend pretransplant screening and posttransplant surveillance for gallstones. Prophylatic laparoscopic cholecistectomy should be undertaken in the stable patient to avoid the substantial mortality associated with postoperative acute cholecystitis and urgent cholecystectomy. In this case report we present a 44 year-old male with acute cholecystitis after cardiac transplantation who was submitted to a safe laparoscopic cholecystectomy one year and seven months later |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Gastroenterología, Terapéutica y rehabilitación, Colecistectomía, Videolaparoscopía, Colecistitis, Trasplante de corazón |
| Keyword: | Medicine, Gastroenterology, Surgery, Therapeutics and rehabilitation, Cholecystectomy, Videolaparoscopy, Cholecystitis, Heart transplantation |
| Full text: | Texto completo (Ver HTML) |
