Korean J Med.  2011 Nov;81(5):636-640.

A Case of Gallbladder Perforation Complicated by Acalculous Cholecystitis due to Non-Typhoidal Salmonella

• Yoo HS
• Jeon SC
• Lee HS
• Song JH
• Jung MW
• Cho SW
• Cheong JY

Abstract

Salmonella infections can cause a variety of diseases, but acute acalculous cholecystitis complicated by gallbladder perforation occurs very rarely in adults. Here, we report a case of acute acalculous cholecystitis with gallbladder perforation after non-typhoidal group D Salmonella infection. A 71-year-old man was admitted with fever, chills, and watery diarrhea. Blood cultures taken on admission were positive for non-typhoidal group D Salmonella. The patient subsequently developed acute acalculous cholecystitis, and abdominal ultrasound and computed tomography revealed gallbladder perforation. Because of other medical problems, cholecystectomy could not be performed. The patient's symptoms and signs were not resolved, even after parenteral antibiotic injection and percutaneous cholecystostomy. Despite meticulous supportive care, the patient died after progression to multiple organ dysfunction.

Keyword

Non-typhoidal salmonellosis; Acalculous cholecystitis; Gallbladder perforation

MeSH Terms

Acalculous Cholecystitis
Adult
Aged
Chills
Cholecystectomy
Cholecystostomy
Diarrhea
Fever
Gallbladder
Humans
Salmonella
Salmonella Infections