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    1325 results match your criteria Acalculous Cholecystitis

    1 OF 27

    Expanding role of percutaneous cholecystostomy and interventional radiology for the management of acute cholecystitis: An analysis of 144 patients.
    Diagn Interv Imaging 2017 May 12. Epub 2017 May 12.
    Department of Radiology, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, Massachusetts 01805, USA.
    Purpose: To investigate the rates of interval cholecystectomy and recurrent cholecystitis after initial percutaneous cholecystostomy (PC) and identify predictors of patient outcome after PC.

    Materials And Methods: A total of 144 patients with acute cholecystitis who were treated with PC were included. There were 96 men and 48 women, with a mean age of 71±13 (SD) years (range: 25-100 years). Read More

    Risk factors for poor outcomes of children with acute acalculous cholecystitis.
    Pediatr Neonatol 2017 Mar 25. Epub 2017 Mar 25.
    Division of Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address:
    Background: Acute acalculous cholecystitis (AAC) is generally considered to be a mild disease in children; however, if left untreated or treated without caution, AAC can lead to severe outcomes, such as death. The objectives of this study were to present the clinical features and identify the predictors of mortality in pediatric AAC.

    Methods: Patients diagnosed with AAC between 2005 and 2012 were enrolled. Read More

    Severe Murine Typhus Presenting with Acalculous Cholecystitis: A Case Report and Literature Review.
    Case Rep Med 2017 4;2017:3769074. Epub 2017 Apr 4.
    Internal Medicine Department, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Crete, Greece.
    A 54-year-old otherwise healthy male, who was being evaluated for prolonged fever, developed clinical and ultrasonographic signs compatible with acute acalculous cholecystitis. Diagnosis of murine typhus was confirmed by serology and the patient was treated with doxycycline. He improved rapidly and all clinical and laboratory abnormalities returned to normal. Read More

    Expanded dengue syndrome: three concomitant uncommon presentations in the same patient.
    Trop Doct 2017 Apr 7;47(2):167-170. Epub 2017 Mar 7.
    3 Medical Officer, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
    We report a case of expanded dengue syndrome, where three uncommon presentations occurred concomitantly. A patient with dengue haemorrhagic fever presented initially with acute acalculous cholecystitis along with acute pancreatitis, but later on, during resolution of pancreatitis and cholecystitis, developed pancytopenia, most likely due to haemophagocytic syndrome. Such presentations, besides being rare themselves, have not been reported to occur concomitantly, in the same patient, during the same disease process. Read More

    Haemorrhagic cholecystitis in a newly anticoagulated patient.
    BMJ Case Rep 2017 Apr 12;2017. Epub 2017 Apr 12.
    Department of General Surgery, Lyell McEwin Hospital, Elizabeth Vale, Australia.
    A 74-year-old man undergoing rehabilitation after pneumonia developed right upper quadrant abdominal pain. Five days earlier he had been commenced on apixaban for a new diagnosis of atrial fibrillation. Ultrasound and CT scans revealed an acalculous grossly thickened gallbladder, with high attenuation non-echogenic material both within and surrounding the structure. Read More

    Acute acalculous cholecystitis in patients with systemic lupus erythematosus: A unique form of disease flare.
    Lupus 2017 Jan 1:961203317699288. Epub 2017 Jan 1.
    Department of Rheumatology and Clinical Immunology, Clinical Immunology Center, The Ministry of Education Key Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
    Objective We aimed to investigate the clinical features of acute acalculous cholecystitis (AAC) in patients with systemic lupus erythematosus (SLE). Methods SLE patients with AAC hospitalized in the Peking Union Medical College Hospital (PUMCH) from January 2001 to September 2015 were retrospectively analyzed. Their medical records were systematically reviewed. Read More

    Helicobacter cinaedi Bacteremia Mimicking a Flare of Systemic Lupus Erythematosus.
    Intern Med 2017 17;56(6):725-728. Epub 2017 Mar 17.
    Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Science, Japan.
    A 40-year-old woman with systemic lupus erythematosus (SLE) presented with high-grade fever and severe thrombocytopenia. Acalculous cholecystitis and thrombocytopenia were initially suspected to be complicated with SLE and vasculitis. Contrary to our expectation, however, the patient was finally diagnosed with Helicobacter cinaedi bacteremia. Read More

    Synchronous Open Heart Surgery and Laparoscopic Cholecystectomy: An Observational Case Study with 28 Patients.
    Am Surg 2017 Mar;83(3):314-321
    Acute cholecystitis (AC) may be a severe problem and may increase the mortality rate and hospital stay in patients who undergo open heart surgery (OHS), due to its aggressive course; therefore, AC should be treated as soon as possible. We aimed to present data on our synchronous cardiac and laparoscopic cholecystectomy (LC) operations performed for AC complicating patients with cardiac disease and who were waiting to undergo OHS. Between January 2008 and September 2014, we performed 2773 OHSs in Medical Park Gaziantep Hospital. Read More

    Acute Acalculous Cholecystitis: A Rare Presentation of Primary Epstein-Barr Virus Infection in Adults-Case Report and Review of the Literature.
    Case Rep Infect Dis 2017 17;2017:5790102. Epub 2017 Jan 17.
    Department of Internal Medicine, Maltepe University Faculty of Medicine, Istanbul, Turkey.
    Primary Epstein-Barr virus (EBV) infection is almost always a self-limited disease characterized by sore throat, fever, and lymphadenopathy. Hepatic involvement is usually characterized by mild elevations of aminotransferases and resolves spontaneously. Although isolated gallbladder wall thickness has been reported in these patients, acute acalculous cholecystitis is an atypical presentation of primary EBV infection. Read More

    Cystoisosporiasis-related human acalculous cholecystitis: the need for increased awareness.
    Pol J Pathol 2016;67(3):270-276
    Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. and
    Cholecystitis is one of the common surgical indications affecting human beings in many countries. A variety of infectious agents can be associated with acute or chronic acalculous cholecystitis, especially in HIV/AIDS patients. In this investigation, the authors aim to describe two cases of histologically and molecularly documented cystoisosporiasis (syn. Read More

    Neutropenic acute acalculous cholecystitis (AAC) in a 12-year-old boy with T-acute lymphoblastic leukemia successfully managed with conservative treatment.
    Pediatr Hematol Oncol 2017 Feb 13;34(1):24-28. Epub 2017 Jan 13.
    d Division of Paediatric Infectious Disease , Royal Aberdeen Children's Hospital , Aberdeen , UK.
    Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder without the presence of gallstones. In children with malignancies or chemotherapy-induced neutropenia, AAC is very rare. Clinical diagnosis of AAC remains difficult in this patient population but an early recognition followed by an appropriate intervention may confer a benefit. Read More

    Similar Efficacies of Endoscopic Ultrasound Gallbladder Drainage With a Lumen-Apposing Metal Stent Versus Percutaneous Transhepatic Gallbladder Drainage for Acute Cholecystitis.
    Clin Gastroenterol Hepatol 2017 May 30;15(5):738-745. Epub 2016 Dec 30.
    Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland.
    Background & Aims: Acute cholecystitis in patients who are not candidates for surgery is often managed with percutaneous transhepatic gallbladder drainage (PT-GBD). Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with a lumen-apposing metal stent (LAMS) is an effective alternative to PT-GBD. We compared the technical success of EUS-GBD versus PT-GBD, and patient outcomes, numbers of adverse events (AEs), length of hospital stay, pain scores, and repeat interventions. Read More

    Axitinib-induced Pneumatosis Intestinalis and Acute Acalculous Cholecystitis in a Patient With Renal Cell Carcinoma.
    Urology 2017 Mar 27;101:e7-e8. Epub 2016 Dec 27.
    Department of Urology, Jichi Medical University, Tochigi, Japan. Electronic address:
    A 71-year-old man with metastatic renal cell carcinoma presented with abdominal pain during treatment with axitinib. The diagnoses were axitinib-induced pneumatosis intestinalis (PI) and acute acalculous cholecystitis (AC). The patient's condition improved with antibiotics, bowel rest, and discontinuation of the axitinib therapy. Read More

    Dengue shock syndrome.
    Oxf Med Case Reports 2016 Nov 4;2016(11):omw074. Epub 2016 Nov 4.
    Columbia Asia Hospital , Kirloskar Business Park , Hebbal , Bangalore.
    Dengue fever is a mosquito-borne arthropod-borne viral (arboviral) tropical disease in humans affecting 50-528 million people worldwide. The acute abdominal complications of dengue fever are acute appendicitis, acute pancreatitis, acute acalculous cholecystitis and non-specific peritonitis. Acute pancreatitis with new onset diabetes in dengue shock syndrome (DSS) is very rarely reported. Read More

    Clinical Profiles of Dengue Infection during an Outbreak in Northern India.
    J Trop Med 2016 29;2016:5917934. Epub 2016 Nov 29.
    Deen Dayal Upadhyay Hospital, Hari Nagar, Clock Tower, New Delhi, Delhi 110064, India.
    Introduction. Dengue fever is an arboviral disease, which is transmitted by mosquito vector and presents as varied clinical spectrum of dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS), and expanded dengue syndrome (EDS) with atypical presentations, thus posing a diagnostic dilemma. Unless we are aware of these presentations, diagnosis as well as early initiation of treatment becomes difficult. Read More

    Liver Function Assessment by Magnetic Resonance Imaging.
    Semin Ultrasound CT MR 2016 Dec 17;37(6):549-560. Epub 2016 Aug 17.
    Liver Imaging Team, Department of Radiology, Hacettepe University, School of Medicine, Ankara, Turkey. Electronic address:
    Liver function assessment by hepatocyte-specific contrast-enhanced magnetic resonance imaging is becoming a new biomarker. Liver function can be assessed by T1 mapping (reduction rate) and signal intensity measurement (relative enhancement ratio) before and after GD-EOB-DTPA (gadoxetic acid) administration, as alternative to Tc-99m galactosyl serum albumin scintigraphy, 99m Tc-labeled mebrofenin scintigraphy, and indocyanine green clearance test. Magnetic resonance imaging assessment of liver function can enable diagnosis of cirrhosis, nonalcoholic fatty liver disease associated fibrosis and steatohepatitis, primary sclerosing cholangitis, toxic hepatitis, and chemotherapy and radiotherapy-related changes, which may be only visible on hepatobiliary phase images. Read More

    A Complicated Course of Acute Viral Induced Pharyngitis, Icteric Hepatitis, Acalculous Cholecystitis, and Skin Rash.
    Case Rep Med 2016 26;2016:6796094. Epub 2016 Oct 26.
    Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
    This case reveals the complexities and challenges in the diagnosis of acute Epstein-Barr virus (EBV) infection, indicating the potential relationship between EBV infection and severe icteric hepatitis, acalculous cholecystitis, and lymphocytic vasculitis. We suggest including EBV infectious mononucleosis in the list of differential diagnoses when any of these clinical syndromes (or a combination thereof) occurs without apparent cause, especially in the presence of lymphocytosis. To our knowledge, this is the first report to suggest the possible role of EBV in the pathogenesis of cutaneous lymphocytic vasculitis. Read More

    So-called Acute Acalculous Cholecystitis in Macrophage Activation Syndrome.
    Intern Med 2016;55(20):3043-3046. Epub 2016 Oct 15.
    Division of Rheumatology, Fukuoka Red Cross Hospital, Japan.
    Acute acalculous cholecystitis (AAC) is a severe disease seen in critically ill patients, including those with autoimmune diseases. We herein report the case of a 41-year-old female who developed macrophage activation syndrome (MAS) accompanied by a recurrence of Kikuchi disease. Abdominal imaging revealed marked thickening of the gallbladder wall and pericholecystic fluid, typically found in AAC. Read More

    Acute acalculous cholecystitis due to breast cancer metastasis to the cystic duct.
    Surg Case Rep 2016 Dec 12;2(1):111. Epub 2016 Oct 12.
    Department of Pathology, Chuden Hospital, 3-4-27 Otemachi, Naka-Ku, Hiroshima, 730-8562, Japan.
    Background: Acute acalculous cholecystitis (AAC) is a relatively rare disorder of the gallbladder. Breast cancer recurrence more than 10 years after curative surgery is also infrequent.

    Case Presentation: Here, we report a case of a 59-year-old woman who presented with right flank pain. Read More

    Nineteen-year trends in incidence and indications for laparoscopic cholecystectomy: the NY State experience.
    Surg Endosc 2017 Apr 7;31(4):1651-1658. Epub 2016 Sep 7.
    Department of Surgery, University of Michigan Health Systems, 1500 E. Medical Center Drive, Ann Arbor, 48109-5343, MI, USA.
    Background: Since the introduction of laparoscopic cholecystectomy (LC), there has been continued evolution in technique, instrumentation and postoperative management. With increased experience, LC has migrated to the outpatient setting. We asked whether increased availability and experience has impacted incidence of and indications for LC. Read More

    [Toxocarosis and acalculous acute cholecystitis: Consequence or coincidence?].
    Rev Chilena Infectol 2016 Jun;33(3):346-51
    Servicio de Pediatría, Hospital Dr. Eduardo Schütz Schroeder, Puerto Montt, Chile.
    Human toxocarosis is a chronic larval parasitosis listed as one of the five most important neglected diseases by the CDC. The larvae can spread systemically and migrate to different tissues including liver and gallbladder. Acalculous acute cholecystitis (AAC) is a rare disease in children. Read More

    [The 452th case: rash, hypotension, abdominal pain and headache].
    Zhonghua Nei Ke Za Zhi 2016 Sep;55(9):741-4
    Department of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing 100730, China.
    Systemic lupus erythematosus (SLE) is an autoimmune disease characterized with multiple organ involvements. Acute acalculous cholecystitis(AAC) is an extremely rare manifestation of digestive system involvement in SLE. We reported a case of 32-year-old woman who complained skin rashes for two weeks and stomachache and oliguria for one day. Read More

    Cholecystectomy for Acute Cholecystitis After Renal Transplantation.
    Transplant Proc 2016 Jul-Aug;48(6):2072-5
    Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic.
    Background: The aim of our study was to evaluate the rate of surgical complications, patient outcomes, and impact on graft function in renal transplant recipients in whom cholecystectomy for acute cholecystitis was performed.

    Methods: We reviewed data on transplant patients from January 1, 2006, to December 31, 2013. The subgroup of patients who required subsequent cholecystectomy for acute cholecystitis was assessed, and their data were further analyzed. Read More

    Age, Predisposing Diseases, and Ultrasonographic Findings in Determining Clinical Outcome of Acute Acalculous Inflammatory Gallbladder Diseases in Children.
    J Korean Med Sci 2016 Oct;31(10):1617-23
    Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea.
    We evaluated clinical factors such as age, gender, predisposing diseases and ultrasonographic findings that determine clinical outcome of acute acalculous inflammatory gallbladder diseases in children. The patients were divided into the four age groups. From March 2004 through February 2014, clinical data from 131 children diagnosed as acute acalculous inflammatory gallbladder disease by ultrasonography were retrospectively reviewed. Read More

    [A Case of Acute Acalculous Cholecystitis During Infectious Mononucleosis Caused by the Epstein-Barr Virus in a Young Woman].
    Kansenshogaku Zasshi 2016 May;90(3):330-5
    Infection with the Epstein-Barr virus (EBV) is a common disease and is mainly asymptomatic during childhood, whereas infectious mononucleosis with clinical signs such as fever, pharyngitis, lymphadenopathy and hepatosplenomegaly often occurs in adolescents and adults with primary infection. Acalculous cholecystitis has been reported as a rare complication. We report herein a case of acalculous cholecystitis accompanied by infectious mononucleosis by EBV, which was treated successfully by medical treatment. Read More

    Parasitic Infection of the Gallbladder: Cystoisospora belli Infection as a Cause of Chronic Abdominal Pain and Acalculous Cholecystitis.
    J Miss State Med Assoc 2016 Jun;57(6):174-6
    Herein we describe two cases of Cystoisospora belli infection of the gallbladder in patients with chronic abdominal pain and review the published literature to date. C. belli is an intracellular protozoan parasite that typically infects the small bowel of immunocompromised hosts. Read More

    Gallbladder disease in children.
    Semin Pediatr Surg 2016 Aug 11;25(4):225-31. Epub 2016 May 11.
    Department of Pediatric Surgery, Women and Children׳s Hospital of Buffalo, 219 Bryant St, Buffalo, New York 14222; Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York. Electronic address:
    Biliary disease in children has changed over the past few decades, with a marked rise in incidence-perhaps most related to the parallel rise in pediatric obesity-as well as a rise in cholecystectomy rates. In addition to stone disease (cholelithiasis), acalculous causes of gallbladder pain such as biliary dyskinesia, also appear to be on the rise and present diagnostic and treatment conundrums to surgeons. Read More

    Peritoneal encapsulation; a rare cause of bowel obstruction.
    Ann R Coll Surg Engl 2017 Jan 9;99(1):e11-e12. Epub 2016 Aug 9.
    Bristol Royal Hospital for Children , Bristol , UK.
    Peritoneal encapsulation is a rare congenital cause of bowel obstruction in children. We present the case of a 12-year-old male with severe dehydration and recurrent episodes of vomiting. This pathology should be considered in cases of bowel obstruction with a virgin abdomen. Read More

    Pancreatitis and cholecystitis in primary acute symptomatic Epstein-Barr virus infection - Systematic review of the literature.
    J Clin Virol 2016 Sep 1;82:51-5. Epub 2016 Jul 1.
    Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Pediatric Emergency Department, Milan, Italy. Electronic address:
    Acute pancreatitis and acalculous cholecystitis have been occasionally reported in primary acute symptomatic Epstein-Barr virus infection. We completed a review of the literature and retained 48 scientific reports published between 1966 and 2016 for the final analysis. Acute pancreatitis was recognized in 14 and acalculous cholecystitis in 37 patients with primary acute symptomatic Epstein-Barr virus infection. Read More

    Genotype 1 hepatitis E virus infection with acute acalculous cholecystitis as an extrahepatic symptom: a case report.
    Trop Med Health 2016 15;44:18. Epub 2016 Jun 15.
    Department of General Internal Medicine and Infectious Diseases, Rinku General Medical Center, Ourai-Kita, Rinku, Izumisano, Osaka, 5988577 Japan.
    Background: Hepatitis E virus (HEV) causes an acute viral hepatitis that is transmitted enterically. It is epidemic in Africa, Asia, the Middle East, and Central America. It is known that HEV can cause extrahepatic manifestations. Read More

    Acute pancreatitis associated with scrub typhus.
    Trop Doct 2017 Jan 13;47(1):65-67. Epub 2016 Jul 13.
    Head, Department of Nephrology, Director, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
    Scrub typhus, or tsutsugamushi fever, is a zoonosis of rural Asia and the western Pacific islands. The causative organism, Orientia (formerly Rickettsia) tsutsugamushi, is transmitted to humans by the bite of a larval Leptotrombidium mite (chigger). Scrub typhus may have gastrointestinal presentations, such as acute acalculous cholecystitis, duodenal ulcer perforation, peritonitis and gastric ulceration. Read More

    Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia. A case report.
    Int J Surg Case Rep 2016 1;25:207-11. Epub 2016 Jul 1.
    Lisbon Medical Academic Centre, Portugal; Hospital Santa Maria (CHLN), Lisboa, Portugal; Faculty of Medicine, University of Lisbon, Portugal.
    Introduction: Symptomatic chronic mesenteric ischemia (CMI) is an uncommon condition that usually presents with intestinal angina, sitophobia and unintentional weight loss. Acute acalculous cholecystitis (AAC) has very rarely been described in the settings of CMI.

    Presentation Of Case: We describe a case of a 73year old man that developed an AAC as a complication of CMI. Read More

    Cholecystitis Associated with Heterotopic Pancreas, Pseudopyloric Metaplasia, and Adenomyomatous Hyperplasia: A Rare Combination.
    J Lab Physicians 2016 Jul-Dec;8(2):126-8
    Department of Pathology, Dr. RP Government Medical College, Tanda, Kangra, Himachal Pradesh, India.
    Heterotopic pancreatic tissue in the gall bladder is an uncommon incidental finding in most cases. We hereby describe the case of a 45-year-old woman who presented with symptoms of acalculous cholecystitis. Pathological examination detected heterotopic pancreatic tissue, pseudopyloric metaplasia, and adenomyomatous hyperplasia in the gall bladder. Read More

    Chronic biliary colic associated with ketamine abuse.
    Int Med Case Rep J 2016 2;9:135-7. Epub 2016 Jun 2.
    Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex, UK.
    Introduction: Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present with biliary symptoms without evidence of gallbladder stones - referred to as acalculous gallstone disease. This case report details a rare case of chronic biliary colic associated with ketamine abuse. Read More

    Acute acalculous cholecystitis in systemic lupus erythematosus: a rare initial manifestation.
    Rev Bras Reumatol Engl Ed 2016 Mar-Apr;56(2):181-4. Epub 2014 Oct 25.
    Education Office, Post-Graduation and Research, Clínica Girassol, Luanda, Angola.
    Acute acalculous cholecystitis is a very rare gastrointestinal manifestation in systemic lupus erythematosus and becomes rarer as an initial manifestation. There are only two cases reported. The authors report a 20-year-old black woman that presented acute acalculous cholecystitis revealed by abdominal computed tomography. Read More

    Colon Cancer Metastatic to the Biliary Tree.
    ACG Case Rep J 2016 Apr 15;3(3):214-6. Epub 2016 Apr 15.
    Division of Digestive Diseases and Nutrition, University of South Florida Morsani College of Medicine, Tampa, FL.
    Metastasis of colon adenocarcinoma is commonly found in the lung, liver, or peritoneum. Common bile duct (CBD) tumors related to adenomas from familial adenomatous polyposis metastasizing from outside of the gastrointestinal tract have been reported. We report a case of biliary colic due to metastatic colon adenocarcinoma to the CBD. Read More

    Acute acalculous cholecystitis in a Lebanese girl with primary Epstein-Barr viral infection.
    BMJ Case Rep 2016 Apr 18;2016:10.1136/bcr-2015-213829. Epub 2016 Apr 18.
    American University of Beirut Medical Center, Beirut, Lebanon.
    Acute acalculous cholecystitis (AAC) constitutes 5-10% of all cases of cholecystitis in adults, and is even less common in children. The recent literature has described an association between primary Epstein-Barr virus (EBV) infection and AAC, however, it still remains an uncommon presentation of the infection. Most authors advise that the management of AAC in patients with primary EBV infection should be supportive, since the use of antibiotics does not seem to alter the severity or prognosis of the illness. Read More

    Cholecystitis and nephrotic syndrome complicating Epstein-Barr virus primary infection.
    Paediatr Int Child Health 2017 Feb 29;37(1):74-77. Epub 2016 Jan 29.
    d Department of Allergy and Clinical Immunology , Hospital Sant Joan de Déu , Barcelona , Spain.
    Epstein-Barr virus (EBV) infection results in a spectrum of clinical manifestations. The host immune response to EBV plays a key role in the extent and degree of clinical features, which in children under 4 years of age are usually mild, non-specific and self-limiting. A 2-year-old boy in whom no known immune disorder could be found presented with acute acalculous cholecystitis, renal dysfunction with massive proteinuria, ascites, pleural effusion, minimal peripheral oedema and a severe systemic inflammatory response. Read More

    Henoch-Schönlein purpura complicated by acalculous cholecystitis and intussusception, and following recurrence with appendicitis.
    Paediatr Int Child Health 2016 May 29;36(2):157-9. Epub 2016 Jan 29.
    c Departments of Pediatrics.
    Henoch-Schönlein purpura (HSP) is the most common childhood systemic vasculitis. Gastro-intestinal involvement occurs in two-thirds of patients. The characteristic skin lesions generally precede abdominal symptoms or present concurrently. Read More

    A case of acalculous cholecystitis in the course of dengue fever in a traveller returned from Brazil.
    Int Marit Health 2016 ;67(1):38-41
    Department of Infectious Diseases, Medical University of Gdańsk.
    Background: Dengue is the second cause of fever after malaria in travellers returning from the tropics. The infection may be asymptomatic or it may manifest itself with fever only, some patients, however, may develop haemorrhagic symptoms and shock.

    Materials And Methods: A 58-year-old woman came to the University Centre of Tropical Medicine in Gdynia after returning from a tourist journey to Brazil because of fever up to 39°C and malaise. Read More

    Aortitis causing rapid growth of a mycotic aortic aneurysm.
    J Surg Case Rep 2016 Mar 22;2016(3). Epub 2016 Mar 22.
    Department of Vascular Surgery, John Hunter Hospital, New Lambton, NSW, Australia
    Mycotic infrarenal aortic aneurysms are rare and often masquerade as other abdominal pathology. We present a case where serial imaging made the diagnosis and provided an insight into the pathophysiology of mycotic aneurysm. A 71-year-old man presents with abdominal pain, rigours and dysuria. Read More

    Clinical Importance and Natural History of Biliary Sludge in Outpatients.
    J Ultrasound Med 2016 Mar 22;35(3):605-10. Epub 2016 Feb 22.
    Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire USA.
    Objectives: Gallbladder sludge is a common diagnosis on routine abdominal sonography, yet its clinical importance is uncertain, especially in outpatients. To determine its natural history and potential future complications in this setting, we reviewed the imaging and clinical histories of nonhospitalized patients with a diagnosis of sludge on sonography.

    Methods: We conducted a retrospective search of our institutional radiology information system for all sonographic reports using the key words "biliary sludge without gallstones" over a 3-year period. Read More

    Outcomes of Percutaneous Cholecystostomy in the Presence of Ascites.
    J Vasc Interv Radiol 2016 Apr 15;27(4):562-6.e1. Epub 2016 Feb 15.
    Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104. Electronic address:
    Purpose: To evaluate whether the presence of ascites increases complications following placement of percutaneous cholecystostomy tubes (PCTs).

    Materials And Methods: Retrospective review of all transhepatic PCTs placed between January 2005 and June 2014 was performed: 255 patients were included (median age of 65 y; range, 20-95 y). Of these patients, 97 had ascites and 158 had no ascites or only pelvic fluid. Read More

    Safety and effectiveness of percutaneous cholecystostomy in critically ill children who are immune compromised.
    Pediatr Radiol 2016 Jun 17;46(7):1040-5. Epub 2016 Feb 17.
    Department of Medical Imaging, Phoenix Children's Hospital, 1919 E. Thomas Road, Phoenix, AZ, 85016, USA.
    Background: Acalculous cholecystitis is known to develop in critically ill patients without cystic duct obstruction. In the past, treatment for acalculous cholecystitis has been cholecystectomy; however, many children who are critically ill are Percutaneous cholecystostomy is likely the procedure of choice in this subgroup of patients.

    Objective: To assess the safety and effectiveness of percutaneous cholecystostomy in critically ill and immune-compromised children with acalculous cholecystitis. Read More

    Another Report of Acalculous Cholecystitis in a Greek Patient with Infectious Mononucleosis: A Matter of Luck or Genetic Predisposition?
    Case Reports Hepatol 2016 14;2016:6080832. Epub 2016 Jan 14.
    Department of Internal Medicine, General Hospital of Larissa, 1 Tsakalof Street, 41221 Larissa, Greece.
    We here report a case of a young, male patient who presented with jaundice and was diagnosed with acalculous cholecystitis during the course of a primary Epstein-Barr Virus (EBV) infection. The coexistence of cholestatic hepatitis and acalculous cholecystitis in patients with infectious mononucleosis is extremely uncommon and only few cases can be found in the literature. Moreover, almost one-fourth of the total reports of this rare entity are coming from Greece. Read More

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