Acalculous Gangrenous Cholecystitis in a Young Patient: A Case Report
Keywords:
Acalculous gall bladder, cholecystectomy, gangrenous cholecystitis, exploratory laparotomyAbstract
We present a 20 years old male with no known comorbid in emergency complaining of pain localized to the right upper quadrant for two days, followed by fever (101F) with 15-16 episodes of vomiting, which were non-bilious and containing food particles. The patient was vitally stable on examination and had a mild jaundiced look; the abdomen was soft and tender over the right hypochondrium. Ultrasound of the abdomen showed a hypoechoic liver and thick-walled acalculous gall bladder along with pericholecystic fluid, suggesting acute cholecystitis. On further evaluation, the diagnosis of gangrenous cholecystitis was made, and an emergency exploratory laparotomy along with a cholecystectomy was performed.
References
Kumar V, Abbas AK, Aster J. Robbins & Cotran pathologic basis of disease. 10th ed. Philadelphia, PA: Elsevier - Health Sciences Division; 2020.
Onder A, Kapan M, Ulger BV, Oguz A, Turkoglu A, Uslukaya O. Gangrenous cholecystitis: mortality and risk factors. Int Surg. 2015; 100(2): 254-60. doi: 10.9738/INTSURG-D-13-00222.1.
Mehrzad M, Jehle CC, Roussel LO, Mehrzad R. Gangrenous cholecystitis: A silent but potential fatal disease in patients with diabetic neuropathy. A case report. World J Clin Cases. 2018; 6(15): 1007-11. doi: 10.12998/wjcc.v6.il5.1007.
Chang W-C, Sun Y, Wu E-H, Kim SY, Wang ZJ, Huang G-S et al. CT findings for detecting the presence of gangrenous ischemia in cholecystitis. AJR Am J Roentgenol. 2016; 207(2): 302-9. doi: 10.2214/AJR.15.15658. Epub 2016 Jun 1.
Agha RA, Franchi T, Sohrabi C, Mathew G, Kerwan A, SCARE Group. The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines. Int J Surg. 2020; 84: 226-30. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
Medina VJ, Martial AM, Chatterjee T. Asymptomatic gangrenous acute cholecystitis: A life-threatening condition. Cureus. 2023; 15(3): e36672. doi: 10.7759/cureus.36672.
Falor AE, Zobel M, Kaji A, Neville A, Virgilio CD. Admission variables predictive of gangrenous cholecystitis. Am Surg. 2012; 78(10): 1075-8.
Nikfarjam M, Niumsawatt V, Sethu A, Fink MA, Muralidharan V, Starkey G et al. Outcomes of contemporary management of gangrenous and non-gangrenous acute cholecystitis. HPB (Oxford). 2011; 13(8): 551-8. doi: 10.1111/j.1477-2574.2011.00327.x. Epub 2011 Jun 3.
Mok KWJ, Reddy R, Wood F, et al. Is C-reactive protein a useful adjunct in selecting patients for emergency cholecystectomy by predicting severe/gangrenous cholecystitis? Int J Surg. 2014; 12(7): 649-53. doi: 10.1016/j.ijsu.2014.05.040. Epub 2014 May 20.
Gomes CA, Soares C, Di Saverio S, Sartelli M, de Souza SPG, Orlandi AS et al. Gangrenous cholecystitis in male patients: A study of prevalence and predictive risk factors. Ann Hepatobiliary Pancreat Surg. 2019; 23(1): 34-40. doi: 10.14701/ahbps.2019.23.1.34.
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