11 results on '"Acalculous Cholecystitis"'
Search Results
2. Obstructive jaundice due to acute acalculous cholecystitis: 'Mirizzi-like syndrome'
- Author
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Tetsuro Takasaki, Takashi Sakamoto, and Alan Kawarai Lefor
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Abdominal pain ,Percutaneous ,Cholecystitis, Acute ,Hepatic Duct, Common ,Case Report ,030105 genetics & heredity ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Aged ,Cholangiopancreatography, Endoscopic Retrograde ,Acalculous Cholecystitis ,business.industry ,General Medicine ,Jaundice, Obstructive ,medicine.anatomical_structure ,Common hepatic duct ,Cystic duct ,Endoscopic retrograde cholangiography ,Subarachnoid haemorrhage ,Obstructive jaundice ,Female ,Radiology ,medicine.symptom ,business ,Acute acalculous cholecystitis ,030217 neurology & neurosurgery ,Cholangiography - Abstract
A 78 year-old female status post subarachnoid haemorrhage developed abdominal pain and obstructive jaundice. CT scan showed acute cholecystitis and dilation of the intrahepatic ducts. Endoscopic retrograde cholangiography revealed hepatic duct stenosis due to compression by an enlarged gallbladder. No stones were seen in the common hepatic duct and the cystic duct was patent. An endoscopic retrograde biliary drain was placed to relieve the obstructive jaundice due to acute acalculous cholecystitis. Percutaneous transhepatic drainage was performed to treat the acute acalculous cholecystitis. Hepatic duct stenosis was improved on endoscopic retrograde cholangiography performed 19 days after percutaneous transhepatic drainage. It may be reasonable to treat ‘Mirizzi-like syndrome’ non-operatively.
- Published
- 2023
3. Acalculous cholecystitis with gallbladder necrosis in a patient presenting without abdominal pain
- Author
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Robert Case and Ellery Altshuler
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,Abdominal pain ,Fever ,medicine.medical_treatment ,Case Report ,Gallbladder necrosis ,030105 genetics & heredity ,Necrosis ,03 medical and health sciences ,Liver disease ,0302 clinical medicine ,Escherichia coli ,Humans ,Medicine ,Cholecystectomy ,Ultrasonography ,Aged, 80 and over ,Acalculous Cholecystitis ,Chemotherapy ,business.industry ,Gallbladder ,Ultrasound ,Acalculous cholecystitis ,General Medicine ,medicine.disease ,Anti-Bacterial Agents ,Treatment Outcome ,medicine.anatomical_structure ,Drug Therapy, Combination ,Radiology ,medicine.symptom ,Presentation (obstetrics) ,Tomography, X-Ray Computed ,business ,030217 neurology & neurosurgery - Abstract
An 83-year-old man with a history of chronic myelogenous leukaemia in remission maintained with bosutinib presented with new-onset fevers. He denied pain and had no other focal symptoms. Ultrasound imaging revealed mild gallbladder wall thickening. Non-contrasted CT revealed right upper quadrant inflammation of indeterminate source. The diagnosis of acalculous cholecystitis was made on the third day when a CT with oral contrast demonstrated a remarkably inflamed biliary tree. The gallbladder was surgically removed and found to be necrotic. The case highlights an unusual presentation for a well-known condition. Both ultrasound and CT have limited diagnostic sensitivity for acalculous cystitis. This case adds to existing literature to support development of acalculous cholecystitis in non-critically ill patients. Clinicians should maintain awareness of this condition among patients presenting to the hospital or clinic with abdominal pain. Careful discussion with radiology and surgery is indicated to guide diagnostic testing when initial imaging results are indeterminate.
- Published
- 2020
- Full Text
- View/download PDF
4. Acute Epstein-Barr infection presenting as cholecystitis with ascites
- Author
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Emma Patch, Sherine Thomas, Konstantinos Teopoulos Lamprianidis, and Nicholas Easom
- Subjects
0301 basic medicine ,Epstein-Barr Virus Infections ,medicine.medical_specialty ,030106 microbiology ,Epstein barr infection ,Gastroenterology ,Virus ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,hemic and lymphatic diseases ,Internal medicine ,Ascites ,Humans ,Medicine ,030212 general & internal medicine ,Young female ,Ultrasonography ,Acalculous Cholecystitis ,Unusual Presentation of More Common Disease/Injury ,business.industry ,General Medicine ,medicine.disease ,Cholecystitis ,Female ,medicine.symptom ,Presentation (obstetrics) ,business - Abstract
A young female patient presented with features of ascites and cholecystitis. She was subsequently diagnosed with an acute Epstein-Barr virus infection. This is a rare presentation of a common infection. The patient was managed conservatively and the illness resolved within 6 weeks.
- Published
- 2020
- Full Text
- View/download PDF
5. Brucellosis, an uncommon cause of acute acalculous cholecystitis: two new cases and concise review
- Author
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Mohamed Salah Hamdi, Eya Cherif, Imen Beji, and Anis Hariz
- Subjects
medicine.medical_specialty ,Vomiting ,Hepatic cytolysis ,medicine.medical_treatment ,Food Contamination ,Gastroenterology ,Brucellosis ,030218 nuclear medicine & medical imaging ,Serology ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Cholestasis ,Raw Foods ,Internal medicine ,Direct agglutination test ,medicine ,Animals ,Humans ,Ultrasonography ,Acalculous Cholecystitis ,Unusual Presentation of More Common Disease/Injury ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Abdominal Pain ,Anti-Bacterial Agents ,C-Reactive Protein ,Milk ,Treatment Outcome ,Doxycycline ,Acute Disease ,Etiology ,Female ,Cholecystectomy ,Rifampin ,business ,Acute acalculous cholecystitis - Abstract
Acalculous cholecystitis etiologies while numerous, some of them are less-known such as brucellosis. In this report, we elaborate the clinical findings, investigations and management of two female patients presenting acalculous cholecystitis in whom diagnosis of acute brucellosis was retained. Both patients had fever, asthenia and abdominal tenderness. Laboratory results showed evidence of inflammation as well as hepatic cytolysis while cholestasis was noted in one patient. In both cases, ultrasound study and CT confirmed the presence of acalculous cholecystitis. Serology (tube agglutination test) led to the diagnosis of brucellosis. Diagnosis of brucellosis-related acute cholecystitis was established in both cases based on imaging findings as well as serology without resorting to cholecystectomy. Favourable clinical response to specific antibiotic therapy further supported our diagnosis as well as our decision to avoid surgery. Although few cases have been reported, brucellosis must be considered as a cause of acalculous cholecystitis, especially in endemic countries.
- Published
- 2019
- Full Text
- View/download PDF
6. Acalculous acute cholecystitis during the course of an enteroviral infection
- Author
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Paulo Coelho, Andreia Marinhas, Ana Sofia Simões, and Sandra Ferreira
- Subjects
Male ,medicine.medical_specialty ,Gallbladder disease ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Clinical report ,Enterovirus Infections ,Acute cholecystitis ,Humans ,Medicine ,030212 general & internal medicine ,Enterovirus ,Ultrasonography ,Acalculous Cholecystitis ,Unusual Presentation of More Common Disease/Injury ,medicine.diagnostic_test ,business.industry ,Critically ill ,General surgery ,Clinical course ,Infant ,General Medicine ,medicine.disease ,Abdominal ultrasonography ,Etiology ,030211 gastroenterology & hepatology ,Presentation (obstetrics) ,business - Abstract
Gallbladder diseases are uncommon in children. Acalculous acute cholecystitis, although rare, is the most frequent form of acute cholecystitis in childhood. In acalculous acute cholecystitis, clinical presentation and laboratory findings are unspecific, making the diagnosis challenging. Abdominal ultrasonography is the first-line exam. Most cases of paediatric acalculous acute cholecystitis have been described in critically ill patients, but can occur in previously healthy children, without underlying diseases or severe conditions. The authors present a clinical report of a child with acalculous acute cholecystitis and enteroviral infection. Diagnosis, treatment, clinical course and prognosis are described. Pathophysiology, aetiology, diagnosis and treatment of acalculous acute cholecystitis are also discussed.
- Published
- 2019
- Full Text
- View/download PDF
7. Limy bile syndrome presenting as acute acalculous cholecystitis
- Author
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Ayad Ahmad Mohammed and Sardar Hassan Arif
- Subjects
Adult ,medicine.medical_specialty ,Common Bile Duct Diseases ,Cholecystitis, Acute ,Malignancy ,Calcium Carbonate ,03 medical and health sciences ,Liver disease ,0302 clinical medicine ,Rare Disease ,White blood cell ,medicine ,Bile ,Humans ,Acalculous Cholecystitis ,business.industry ,Acalculous cholecystitis ,Syndrome ,General Medicine ,Right hypochondrial pain ,medicine.disease ,Surgery ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Abdominal examination ,Abdomen ,Female ,business ,Acute acalculous cholecystitis ,030217 neurology & neurosurgery - Abstract
A 35-year-old woman presented to the surgical clinic complaining of right hypochondrial pain for 4 days. Abdominal examination revealed tenderness on deep palpation in the right hypochonrdium, with no palpable organs or masses. The patient had repeated attacks of the same pain that mandated repeated admissions to the emergency hospital and treated conservatively. The white blood cell count was 13 000 cells/μL. Ultrasound examination of the abdomen showed thick-walled gall bladder, thick bile, with no visible stones and acalculous cholecystitis was the diagnosis. Decision done for laparoscopic cholecystectomy. After removal of the gall bladder and opening the bladder, a thick milky contents was found to fill the gall bladder with no stones. The diagnosis of limy bile syndrome then done. Histopathological examination of the gall bladder showed features of chronic cholecystitis with no malignancy. The patient discharged on the third postoperative day with no complications.
- Published
- 2019
- Full Text
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8. Acute acalculous cholecystitis of an intrahepatic gallbladder causing Mirizzi’s syndrome
- Author
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David L. Bigam, Gavin Low, Vanessa Falk, and Gurpal Sandha
- Subjects
Adult ,medicine.medical_specialty ,Choristoma ,Biliary colic ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Rare Disease ,Intrahepatic gallbladder ,Humans ,Medicine ,Young female ,Cholangiopancreatography, Endoscopic Retrograde ,Mirizzi's syndrome ,Acalculous Cholecystitis ,business.industry ,Liver Diseases ,Gallbladder ,General Medicine ,Mirizzi Syndrome ,medicine.disease ,Magnetic Resonance Imaging ,medicine.anatomical_structure ,Common hepatic duct ,Acute Disease ,Female ,Stents ,030211 gastroenterology & hepatology ,Radiology ,medicine.symptom ,business ,Acute acalculous cholecystitis ,Rare disease - Abstract
We present the case of a young female with symptoms of biliary colic and a biochemical profile consistent with biliary obstruction. Imaging was suspicious for Mirizzi's syndrome. Intraoperatively, the patient was found to have a complete intrahepatic gallbladder causing common hepatic duct compression with final pathology confirming acute cholecystitis. We review the embryological development of the gallbladder as well as clinical presentation of Mirizzi's syndrome. Special consideration for clinical workup and surgical management is discussed.
- Published
- 2018
- Full Text
- View/download PDF
9. An insidious case of hepatic artery pseudoaneurysm secondary to acalculus cholecystitis
- Author
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Hamid Khan, Zhi Hao Teoh, T Mathialahan, and A Surya
- Subjects
Male ,medicine.medical_specialty ,Abdominal pain ,medicine.medical_treatment ,Article ,Diagnosis, Differential ,Pseudoaneurysm ,Aneurysm ,Hepatic Artery ,medicine ,Humans ,Embolization ,cardiovascular diseases ,Endoscopy, Digestive System ,Aged ,Ultrasonography ,Acalculous Cholecystitis ,medicine.diagnostic_test ,business.industry ,Endovascular Procedures ,Angiography ,Interventional radiology ,General Medicine ,medicine.disease ,Embolization, Therapeutic ,Surgery ,Endoscopy ,Abdominal Pain ,medicine.anatomical_structure ,Treatment Outcome ,Cholecystitis ,cardiovascular system ,Radiology ,medicine.symptom ,business ,Aneurysm, False ,Artery ,Follow-Up Studies - Abstract
A 68-year-old man with expressive dysphasia presented with upper gastrointestinal haemorrhage, jaundice and abdominal pain. He was unable to tolerate ultrasound tranducer pressure. His oesophagogastroduodenoscopy (OGD) showed large blood clots in the stomach with blood trickling from the ampulla. An urgent CT angiogram demonstrated a 32 mm pseudoaneurysm within the gallbladder fossa. The patient subsequently underwent an endovascular embolisation of the pseudoaneurysm performed by the interventional radiology team.
- Published
- 2015
10. Acute acalculous cholecystitis after abdominal wall repair (Rives-Stoppa)
- Author
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Jurrian C Reurings, David R Nellensteijn, Luit Penninga, and Ruben P D Diaz
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cholecystitis, Acute ,Article ,Abdominal wall ,Postoperative Complications ,medicine ,Humans ,heterocyclic compounds ,Herniorrhaphy ,Acalculous Cholecystitis ,Critically ill ,business.industry ,General surgery ,Incisional hernia repair ,Abdominal Wall ,Abdominal wall repair ,General Medicine ,After discharge ,biochemical phenomena, metabolism, and nutrition ,Surgical Mesh ,medicine.disease ,bacterial infections and mycoses ,Hernia, Ventral ,Surgery ,carbohydrates (lipids) ,medicine.anatomical_structure ,Surgical mesh ,Cholecystitis ,bacteria ,business ,Tomography, X-Ray Computed ,Acute acalculous cholecystitis - Abstract
Acute acalculous cholecystitis (AAC) is a rare condition normally occurring in critically ill patients. Compared to acute calculous cholecystitis, AAC is associated with complications and has a worse outcome. Hence, knowledge of this condition is very important. We describe a case of a 31-year-old man who developed AAC after abdominal wall repair with mesh (Rives-Stoppa procedure) 1 day after discharge from the hospital. To the best of our knowledge, this is the first paper to report AAC after abdominal incisional hernia repair. Although it is known to be more common in critically ill patients, AAC can also occur postoperatively in outpatients. Early recognition and treatment of AAC may improve outcome.
- Published
- 2014
11. Acalculous Phrygian cap cholecystitis
- Author
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Muhammad Hanif Shiwani, Ajay Kumar Maliyakkal, Suhail Anwar, and Mohammad Al-Ashqar
- Subjects
Diagnostic Imaging ,medicine.medical_specialty ,medicine.medical_treatment ,Biopsy ,Article ,Diagnosis, Differential ,Liver Function Tests ,medicine ,Humans ,Phrygian cap ,Acalculous Cholecystitis ,medicine.diagnostic_test ,business.industry ,Gallbladder ,Acalculous cholecystitis ,General Medicine ,Gallstones ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Cholecystectomy, Laparoscopic ,Cholecystitis ,Cholecystectomy ,Female ,Radiology ,Differential diagnosis ,business - Abstract
We report a case of a 53-year-old Caucasian woman who presented with symptoms of cholecystitis; an ultrasound and CT scans showed a mass lesion associated with the gallbladder and no gallstones. Laparoscopic cholecystectomy and further histological analysis confirmed acalculous cholecystitis in a Phrygian cap gallbladder.
- Published
- 2013
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