[Vascular cholecystitis and its specific features].
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Biomedical subjects
Publications and source records attributed to S S Sorokin.
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It has been established that disorders in the blood circulation of the gallbladder play the dominating part in the development of posttraumatic cholecystitis. The disease is found more often to develop in elderly and senile people, mainly in men. The pathogenetically grounded treatment is considered to be the application of means improving hemodynamics and microcirculation in the gallbladder. The use of these means is indicated prophylactically in great traumas. Cholecystectomy is a necessary measure when the conservative treatment proves to be ineffective and when symptoms of generalization of the process are observed.
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On the grounds of the analysis of 1300 case records and own observations with the use of angioscopy and angiography the authors have come to the conclusion that acute cholecystitis in elderly individuals results from the blood supply disorder in the gallbladder wall, caused by the thrombosis of the vascular branches of the cystic artery. They have suggested the classification of acute cholecystitis, mirroring the stage character of the disease and the nature of pathological changes in the gallbladder.
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