From: Cholecystitis in older patients following hip fracture: a case series and literature review
Case | Abdominal ultrasound | Abdominal CT | Grade classification | Treatment * | Other acute complications | Transfer status/prognosis | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Gallbladder enlargement | Wall thickening/irritability | Gallstone | Others | Gallbladder enlargement | Wall thickening/irritability | Gallstone | Others | |||||
1 | No | No | No | No | No | Yes | No | No | 2 | Parenteral nutrition Cefotaxime Sodium and Sulbactam Sodium ivgtt 10 days | No/discharged | |
2 | Yes | No | Yes | Gallbladder fossa effusion | Yes | No | Yes | No | 2 | Cholecystostomy Fasting and water deprivation Parenteral nutrition Levofloxacin ivgtt 10 days | Acute cerebral infarction | General surgery-ICU-neurology department/discharged |
3 | No | Yes | No | No | 2 | Cefotaxime Sodium and Sulbactam Sodium ivgtt 3 days | Lower GI hemorrhage | No/discharged | ||||
4 | Yes | Yes | Yes | No | Yes | No | Yes | Perihepatic effusion | 2 | Fasting and water deprivation Parenteral nutrition Cefotaxime Sodium and Sulbactam Sodium ivgtt 7 days | Incomplete intestinal obstruction | Geriatrics department/discharged |
5 | Yes | Yes | Yes | Calculus of upper segment of extrahepatic bile duct | Yes | No | Yes | No | 2 | Biliary drainage Fasting and water deprivation Parenteral nutrition Cefotaxime Sodium and Sulbactam Sodium ivgtt 6 days | Acute obstructive jaundice | ICU-another hospital for continued treatment of cholecystitis/discharged |
6 | Yes | No | No | No | 2 | Cefotaxime Sodium and Sulbactam Sodium ivgtt 6 days | Deep vein thrombosis of the lower extremities | Vascular surgery department (retrievable inferior vena cava filter removal)/discharged | ||||
7 | Yes | No | No | No | Yes | No | Yes | Gallbladder fossa effusion | 2 | Fasting and water deprivation Parenteral nutrition Moxifloxacin ivgtt 8 days | ICU/discharged | |
8 | Yes | No | No | No | Yes | No | Yes | Choledocholithiasis | 3 | Biliary drainage Fasting and water deprivation Parenteral nutrition Imipenem and cilastatin sodium ivgtt 8 days | Acute cholangitis | ICU/died |
9 | Yes | Yes | Yes | No | Yes | Yes | No | No | 2 | Fasting and water deprivation Parenteral nutrition Imipenem and cilastatin sodium ivgtt 6 days | No/discharged | |
10 | Yes | Yes | Yes | No | 1 | Cefotaxime Sodium and Sulbactam Sodium ivgtt 7 days | No/discharged |