<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992021000100009</article-id>
<article-id pub-id-type="doi">10.35366/103908</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Management of gallbladder edema confused as cholecystitis in the Emergency Department]]></article-title>
<article-title xml:lang="es"><![CDATA[Manejo del edema de vesícula biliar confundido como colecistitis, en el departamento de urgencias]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Martínez]]></surname>
<given-names><![CDATA[Jair]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional No. 1 Departamento de Cirugía Hepatopancreatobiliar]]></institution>
<addr-line><![CDATA[Cuernavaca Mor]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992021000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992021000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Different acute systemic diseases (heart failure, cirrhosis, hepatitis) can produce gallbladder edema and be confused with acute cholecystitis. This study&#8217;s objective is to analyze the patients presented to cholecystectomy due to gallbladder wall thickening confused as cholecystitis in the Emergency Department.  Material and methods:  An observational retrospective study in a Regional Reference Center was conducted from December 2016 to November 2019. Patients admitted to the emergency department for possible acute cholecystitis were reviewed.  Results:  Of 3,393 patients analyzed with suspected cholecystitis, 31 patients were confused with acute cholecystitis for gallbladder wall thickening secondary to diverse acute diseases, and presented for cholecystectomy. The majority were male (51%). In all patients, the gallbladder wall thickening due to edema more than 5 mm without signs of cholecystitis was corroborated, (mean: 8.96 mm, range: 5-16 mm). The admission diagnoses that were confused as cholecystitis were liver diseases, dengue, cardiovascular diseases, pneumonia, and pancreatitis. In seven patients (22.6%), cholecystectomy for suspected cholecystitis was performed. Two patients presented post-surgical complications (6.5%), and none died. In the histopathological study, no signs of calculous cholecystitis were found. In the analysis, the operated patients had a hospital stay larger than patients no operated, showing statistical significance (p = 0.004).  Conclusion:  In the emergency treatment of patients with suspect cholecystitis, it is mandatory ruled out gallbladder edema secondary to acute diseases. Surgical treatment in patients confused as acute cholecystitis can increase the length of hospital stay.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Diferentes enfermedades sistémicas agudas (enfermedades cardiacas, cirrosis, hepatitis) pueden producir edema de pared de vesícula biliar y ser confundidas con colecistitis aguda. El objetivo de este estudio es analizar los pacientes presentados para colecistectomía, por engrosamiento de pared de vesícula biliar confundidos como colecistitis aguda en el departamento de urgencias.  Material y métodos:  Se realizó un estudio observacional, retrospectivo de diciembre 2016 a noviembre 2019 en un centro regional de referencia. Se revisaron pacientes admitidos al servicio de urgencias por posible colecistitis aguda.  Resultados:  De 3,393 pacientes sospechosos de colecistitis, 31 fueron confundidos con colecistitis aguda por presentar engrosamiento de la pared vesicular secundario a enfermedades agudas diversas, y presentados para colecistectomía. La mayoría fueron varones (51%). En todos los pacientes, el engrosamiento de pared de vesícula biliar de más de 5 mm sin signos de colecistitis aguda fue corroborado (media: 8.96 mm, rango: 5-16 mm). Los diagnósticos que se confundieron con colecistitis fueron enfermedades hepáticas, dengue, enfermedades cardiovasculares, neumonía y pancreatitis. En siete pacientes (22.6%) se realizó colecistectomía por sospecha de colecistitis. Dos pacientes presentaron complicaciones postquirúrgicas (6.5%) y ninguno falleció. En el estudio histopatológico no se encontraron signos de colecistitis biliar. En el análisis, los pacientes que recibieron tratamiento quirúrgico tuvieron una estancia hospitalaria mayor que los no operados mostrando significancia estadística (p = 0.004).  Conclusión:  En el tratamiento de urgencia en pacientes con sospecha de colecistitis es obligatorio descartar edema de vesícula biliar secundario a enfermedades sistémicas. El tratamiento quirúrgico en pacientes confundidos con colecistitis aguda puede incrementar la estancia hospitalaria.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Gallbladder]]></kwd>
<kwd lng="en"><![CDATA[confused]]></kwd>
<kwd lng="en"><![CDATA[cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[misdiagnosed]]></kwd>
<kwd lng="es"><![CDATA[Vesícula biliar]]></kwd>
<kwd lng="es"><![CDATA[confusión]]></kwd>
<kwd lng="es"><![CDATA[colecistitis]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[confusión diagnóstica]]></kwd>
</kwd-group>
</article-meta>
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