Korean J Hepatobiliary Pancreat Surg.  2013 May;17(2):83-85. 10.14701/kjhbps.2013.17.2.83.

Acute acalculous cholecystitis after laparoscopic appendectomy in a young healthy patient: report of a case

Affiliations
  • 1Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. medhun@hanmail.net
  • 2Department of Anesthesiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Abstract

Acute acalculous cholecystitis (AAC) is defined as acute inflammation of the gallbladder in the absence of gallstones. AAC occurs in patients after major surgery and in the presence of serious co-morbidities such as severe trauma, burns, sepsis, prolonged intravenous hyperalimentation and hemodynamic instability. AAC is rare in patients with none of the established risk factors. We present a case of a 38-year-old woman who developed AAC after laparoscopic appendectomy.

Keyword

Acute acalculous cholecystitis; Gallbladder; Laparoscopic appendectomy

MeSH Terms

Acalculous Cholecystitis
Appendectomy
Burns
Female
Gallbladder
Gallstones
Hemodynamics
Humans
Inflammation
Parenteral Nutrition, Total
Risk Factors
Sepsis

Figure

  • Fig. 1 Computed tomography showing (A) a normal gallbladder in a local clinic and (B) marked thickening of the gallbladder wall.


Reference

1. Barie PS, Eachempati SR. Acute acalculous cholecystitis. Curr Gastroenterol Rep. 2003; 5:302–309. PMID: 12864960.
Article
2. Huffman JL, Schenker S. Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol. 2010; 8:15–22. PMID: 19747982.
Article
3. Kalliafas S, Ziegler DW, Flancbaum L, et al. Acute acalculous cholecystitis: incidence, risk factors, diagnosis, and outcome. Am Surg. 1998; 64:471–475. PMID: 9585788.
4. Awori KO, Hassan SH, Kiptoon DK. Acute acalculous cholecystitis in an outpatient Setting. East Cent Afr J Surg. 2006; 11:48–53.
5. Ryu JK, Ryu KH, Kim KH. Clinical features of acute acalculous cholecystitis. J Clin Gastroenterol. 2003; 36:166–169. PMID: 12544202.
Article
6. Savoca PE, Longo WE, Zucker KA, et al. The increasing prevalence of acalculous cholecystitis in outpatients. Results of a 7-year study. Ann Surg. 1990; 211:433–437. PMID: 2322038.
7. Hui CK. Acute acalculous cholecystitis after laparoscopic appendicectomy that responded to conservative management. Malays J Med Sci. 2011; 18:76–78. PMID: 22135578.
8. Parithivel VS, Gerst PH, Banerjee S, et al. Acute acalculous cholecystitis in young patients without predisposing factors. Am Surg. 1999; 65:366–368. PMID: 10190365.
9. Ottinger LW. Acute cholecystitis as a postoperative complication. Ann Surg. 1976; 184:162–165. PMID: 952563.
Article
10. Barie PS, Fischer E. Acute acalculous cholecystitis. J Am Coll Surg. 1995; 180:232–244. PMID: 7850064.
Article
11. Ganpathi IS, Diddapur RK, Eugene H, et al. Acute acalculous cholecystitis: challenging the myths. HPB (Oxford). 2007; 9:131–134. PMID: 18333128.
Article
12. Kim JY, Lee MK, Kang YJ, et al. Clinical analysis of acalculous cholecystitis. Korean J Hepatobiliary Pancreat Surg. 2005; 9:216–220.
Full Text Links
  • KJHBPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr