Many studies have been reported by various observers on the bacteriology of acute and
chronic cholecystitis. But only a few have reported in Korea. The purpose of the present
investigation was to analyse the incidence of bacteria in acute and chronic cholecystitis
and to define the predisposing factors of acalculous cholecystitis.
Bacterial studies of the bile were made in 47 patients with acute and chronic
cholecystitis who were operated upon on the Han Yang University Hospital during the 6
year period from 1975 to 1980.
The following results were obtained.
1) In 95 cases of bile culture, total 77 strains of bacteria were isolated. The bacterial
flora consisted of E. Coli 38 strains, Proteus 7 strains, Enterobacter 5 strains,
Pseudomonas 4 strains, Klebsiella pneumoniae 4 strains, Enterococci 4 strains, Gram
negactive nonfermentative bacilli 3 strains, Coliform bacilli 3 strains, Serratia 2 strains,
and Providencia, Aerotacter, Alkaligenes faecalis, Staphylococcus epidermidis each one
strain respectively.
2) In total 47 patients of cholecystitis, 76.6% were culture-pcstive. In 30 cases of
chronic cholecystitis, 76.7% were culture-positive and in 17cases of acute cholecystitis,
76.5% were culture-positive,
3) Acalculous cholecystitis was 23.4% (11 cases), and hypochorhydria, cholangitis, liver
abscess, pancreatic abscess, Ascaris lumbricoides, Clonerchis sinensis were regarded as
predisposing factors.
|