[Paracholecystic and intrahepatic abscesses as a complication of acute cholecystitis]. / Parapuzyrnye i vnutripechenochnye abstsessy kak oslozhnenie ostrogo kholetsistita.

The authors have studied 776 operations performed for acute cholecystitis. In 15 patients (1.9%) paravesicular and intrahepatic abscesses were found. Clinical symptoms are described which were observed in patients with such complications. The authors consider that these complications can be diagnozed in the preoperative period. The operation of choice is cholecystectomy (sometimes like the Pribram mucoclasias). In the paravesicular abscess it is necessary to resect the omentum involved in the inflammatory process. Great significance is attached to drainage of subdiaphragmatic and subhepatic space after Redon and to transumbilical infusion in the early postoperative period.