J Korean Acad Rehabil Med.  2004 Oct;28(5):505-507.

Acute Acalculous Cholecystitis in a Spinal Cord Injured Patient: A case report

• Lee JW
• Lew IS
• Sung IY

Abstract

Patients with spinal cord injury (SCI) have an increased prevalence of cholecystitis. Neurologically intact patients with cholecystitis usually complain biliary colic of the right upper quadrant (RUQ). Because of the inability to localize visceral pain in patients with SCI, the pattern of symptoms are quite different. We reported a case of 48-year-old man with C5 incomplete tetraplegia (ASIA C) who presented an increased spasticity and vague pain of RUQ and later diagnosed as an acute acalculous cholecystitis. Antibiotics treatment and Percutaneous Transhepatic Gall Bladder Drainage (PTGBD) were performed. An open cholecystectomy was performed after the laparoscopic cholecystectomy which failed due to severe adhesion. Postoperatively, patient recovered well without complications. We suggested that even a vague abdominal pain shouldn't be underestimated in SCI patients.

Keyword

Acute acalculous cholecystitis; Spinal cord injury; Gall bladder stone

MeSH Terms

Abdominal Pain
Acalculous Cholecystitis*
Anti-Bacterial Agents
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystitis
Colic
Drainage
Humans
Middle Aged
Muscle Spasticity
Prevalence
Quadriplegia
Spinal Cord Injuries
Spinal Cord*
Urinary Bladder
Visceral Pain
Anti-Bacterial Agents