1,505 results match your criteria Cholecystitis Acalculous

Complications of cholecystitis: a comprehensive contemporary imaging review.

Emerg Radiol 2021 Jun 10. Epub 2021 Jun 10.

Department of Radiology, Emory University Hospital, Atlanta, GA, USA.

Acute cholecystitis is a common cause of right upper quadrant pain in patients presenting to the emergency department. Ultrasound, computed tomography, HIDA scans, and magnetic resonance imaging are increasingly utilized to evaluate suspected cases. The prognosis of acute cholecystitis is usually excellent with timely diagnosis and management. Read More

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Acute acalculous cholecystitis as the initial manifestation of systemic lupus erythematous: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26238

Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Rationale: Acute acalculous cholecystitis (AAC) is an extremely rare manifestation of systemic lupus erythematous (SLE). In previous reports, most of the patients were already diagnosed cases of SLE upon confirmation of AAC.

Patient Concerns: A 24-year-old female who initially presented with fever and acute right upper quadrant abdominal pain. Read More

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Laparoscopic Cholecystectomy for Gallbladder Dysfunction and Polyps: Incidence and Follow up.

JSLS 2021 Apr-Jun;25(2)

University Hospital Hairmyres, Lanarkshire, Scotland, UK.

Aim: This study aims to evaluate the incidence, indications, management, and long term follow up of cholecystectomy in patients with no gallstones, other than acalculous acute cholecystitis.

Methods: Prospectively collected data of 5675 patients undergoing laparoscopic cholecystectomy (LC) over 28 years was extracted and analyzed. Patients with biliary symptoms, no stones on ultrasound scans and abnormal hepatobiliary iminodiacetic acid scans, and those with confirmed gallbladder polyps (GBP) were included. Read More

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Epstein-Barr virus infection associated with acute acalculous cholecystitis in a 20-year-old woman.

CMAJ 2021 May;193(19):E696

Division of General Medicine (Nakagawa) and Department of Primary Care and Community Health (Miyata), Aichi Medical University School of Medicine, Nagakute, Japan.

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Acute Acalculous Cholecystitis in a Multiple Sclerosis Patient Treated with Natalizumab.

Neurol India 2021 Mar-Apr;69(2):495-496

Department of Neurology, Hospital Universitario Miguel Servet, Paseo Isabel la Católica 1-3, 50009, Zaragoza, Spain.

Natalizumab is a disease-modifying drug that has proved greatly effective and well-tolerated in highly-active Multiple Sclerosis (MS). However, it may increase the risk for opportunistic infections, such as viral ones. We describe a 37-year-old woman treated with Natalizumab for Relapsing-Remitting Multiple Sclerosis (RR-MS) who presented to our clinic with malaise, arthromyalgias, rash, and fever. Read More

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Surgical case report-acalculous hemorrhagic cholecystitis.

Matthew Leaning

J Surg Case Rep 2021 Mar 25;2021(3):rjab075. Epub 2021 Mar 25.

Department of General Surgery, Caboolture Hospital, Brisbane, Queensland, Australia.

Haemorrhagic cholecystitis is a seldom seen cause of right upper quadrant pain that can result in gallbladder rupture, massive intraperitoneal haemorrhage and death if untreated. Haemorrhagic cholecystitis is usually seen in the presence of cholelithiasis, malignancy, trauma and coagulopathies. Here, we present the unusual case of an elderly man presenting with acalculous haemorrhagic cholecystitis, who was successfully treated with laparoscopic cholecystectomy. Read More

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Obstructive jaundice due to acute acalculous cholecystitis: 'Mirizzi-like syndrome'.

BMJ Case Rep 2021 Mar 30;14(3). Epub 2021 Mar 30.

Department of Gastroenterology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.

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. Read More

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Acute Cholecystitis Following Allogeneic Hematopoietic Stem Cell Transplantation: Clinical Features, Outcomes, Risk Factors, and Prediction Model.

Transplant Cell Ther 2021 Mar 24;27(3):253.e1-253.e9. Epub 2020 Dec 24.

Peking University Institute of Hematology, Peking University People's Hospital, Beijing, China; Collaborative Innovation Center of Hematology, Peking University, Beijing, China; Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing, China; National Clinical Research Center for Hematologic Disease, Beijing, China. Electronic address:

Acute cholecystitis (AC) is a potentially fatal complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT); however, only limited information is available on its clinical features, outcomes, and risk management strategies. This retrospective, nested, case-control study included 6701 patients undergoing allo-HSCT at our center from January 2004 to June 2019. In total, 72 patients (1. Read More

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A case report of positive Charcot´s triad from a rare infectious etiology.

Neuro Endocrinol Lett 2020 Dec;41(7-8):358-361

Medical faculty of Comenius University, Department of Pediatric Surgery, National Institute of Children's Diseases, Limbova 1, Bratislava, 831 01, Slovakia.

Chlamydia pneumoniae (C. pneumoniae) is an obligate intracellular bacterial pathogen, which has long been investigated as a potential developmental or exacerbating factor in various pathologies. C. Read More

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December 2020

Acute cholecystitis in recent lung transplant patients: a single-institution series of 10 cases.

Abdom Radiol (NY) 2021 Mar 20. Epub 2021 Mar 20.

Department of Radiology, Hospital Universitario 12 de Octubre, Avda de Córdoba s/n. 28041, Madrid, Spain.

Objective: To evaluate the clinical and imaging findings of acute cholecystitis in recent lung transplant patients.

Methods: We retrospectively reviewed all abdominal ultrasounds and computed tomography (CT) scans of patients who developed acute cholecystitis in the early postoperative period following lung transplantation from November 2014 to December 2020 in a tertiary care university hospital.

Results: Ten patients (4. Read More

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Acute acalculous cholecystitis caused by gallbladder metastasis due to the peritoneal dissemination of gastric cancer: A case report.

Int J Surg Case Rep 2021 Apr 17;81:105764. Epub 2021 Mar 17.

Department of Surgery, Fukui Prefectural Hospital, 2-8-1, Yotsui, Fukui, Fukui, 910-8526, Japan.

Introduction And Importance: Acute acalculous cholecystitis (AAC) is associated with a high mortality rate. AAC caused by metastasis to the gallbladder is rare. We report a case of AAC caused by gallbladder metastasis due to the peritoneal dissemination of gastric cancer. Read More

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Complicated EBV infection in a healthy child.

BMJ Case Rep 2021 Mar 18;14(3). Epub 2021 Mar 18.

Pediatrics Department, Centro Hospitalar de Setubal EPE, Setubal, Portugal.

The Epstein-Barr virus (EBV) is highly prevalent throughout the population. Although in most cases, the infection has a good prognosis, it can cause severe complications. We report a case of a healthy child with a primary EBV infection that evolved with two rare complications. Read More

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[Sonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma].

Praxis (Bern 1994) 2021 ;110(3):156-159

Polipraxis St. Gallen.

Sonographic Wall Changes of the Stone-Free Gall Bladder - a Diagnostic and Therapeutic Dilemma Various diseases frequently cause sonographic abnormalities of the gallbladder wall and its surroundings. The interpretation of these abnormalities is often a great challenge for the treating physician and will be briefly discussed here. In our patient these abnormalities are due to hepatitis A, which is responsible for multiple extrahepatic manifestations. Read More

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The diagnostic dilemma of a gallbladder volvulus: An unusual case report and review of the literature.

Int J Surg Case Rep 2021 Mar 3;80:105614. Epub 2021 Feb 3.

Department of Surgery, University of Saskatchewan, Saskatoon, Canada; Professor of Surgery, University of Saskatchewan, Saskatoon, Canada.

Introduction And Importance: A gallbladder volvulus is a rare medical condition requiring emergency surgery. There are 500 cases reported in the literature, and only 10 % have ever been diagnosed preoperatively. Gallbladder volvulus occurs when the gallbladder torts around the cystic duct and cystic artery resulting in occlusion of both structures and consequently, ischemia of the gallbladder. Read More

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Lymphoeosinophilic cholecystitis: A rare cause of acalculous cholecystitis in immunocompetent patients - A case report.

Int J Surg Case Rep 2021 Mar 1;80:105608. Epub 2021 Feb 1.

Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Introduction: Eosinophilic and lymphoeosinophilic cholecystitis are uncommonly encountered causes of acalculous cholecystitis characterised by a clinical presentation of acute cholecystitis with eosinophilic infiltration of the gallbladder. Acalculous cholecystitis is a disease that is traditionally associated with patients who are critically unwell and immunosuppressed.

Presentation Of Case: A fit and well 37-year-old man presented to the emergency department with a 12 -h history of constant upper abdominal pain radiating through to his back. Read More

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Acute Acalculous Cholecystitis Due to a Primary Epstein Barr Virus Infection in a Pediatric Patient.

Pediatr Rep 2021 Feb 6;13(1):86-90. Epub 2021 Feb 6.

Pediatric Unit, Department of Pediatrics, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain.

Epstein-Barr virus (EBV) is estimated to infect more than 98% of adults worldwide and is one of the most common human viruses. Acute acalculous cholecystitis (AAC) of the gallbladder is an atypical complication of infectious mononucleosis caused by EBV. Conservative management has been described in the context of AAC caused by EBV. Read More

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February 2021

A Recurrent Case of Adult-onset Still's Disease with Concurrent Acalculous Cholecystitis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis Successfully Treated with Combination Immunosuppressive Therapy.

Intern Med 2021 Feb 1. Epub 2021 Feb 1.

Department of Rheumatology, Yokohama Rosai Hospital, Japan.

We herein report the case of 21-year-old female diagnosed with adult-onset Still's disease (AOSD) three years earlier who presented with fever and right upper abdominal pain. She was diagnosed with acute acalculous cholecystitis (AAC) based on hepatic dysfunction, elevated C-reactive protein, and gallbladder wall thickening on abdominal ultrasound. Based on the presence of pancytopenia, hyperferritinemia, and hemophagocytosis by a bone marrow examination, she was diagnosed with macrophage activation syndrome (MAS)/hemophagocytic lymphohistiocytosis (HLH) which was refractory to glucocorticoid pulse therapy. Read More

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February 2021

Litiasic acute cholecystitis: application of Tokyo Guidelines in severity grading.

Cir Cir 2021 ;89(1):12-21

Servicio de Cirugía General, Institut de Recerca Biomèdica de Lleida Fundació Dr. Pifarré (IRBLleida), Hospital Universitario Arnau de Vilanova, Lleida, España.

Background: Acute calculous cholecystitis (AC) is one of the most frequent surgical emergencies in our field. Laparoscopic cholecystectomy is considered the treatment of choice, although not sufficiently widespread.

Objective: To analyze the application of the Tokyo Guidelines in the management of AC and to determine the influence of the degree of severity on management and prognosis. Read More

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January 2021

Gallbladder Disorders: A Comprehensive Review.

Dis Mon 2021 Jul 18;67(7):101130. Epub 2021 Jan 18.

Section of Digestive Diseases, Yale New Haven Health System, Yale Center for Pancreatitis, Yale School of Medicine, 333 Cedar Street-1080 LMP, New Haven, CT 06520-8019, USA. Electronic address:

Gallbladder disorders encompass a wide breadth of diseases that vary in severity. We present a comprehensive review of literature for the clinical presentation, pathophysiology, diagnostic evaluation, and management of cholelithiasis-related disease, acute acalculous cholecystitis, functional gallbladder disorder, gallbladder polyps, gallbladder hydrops, porcelain gallbladder, and gallbladder cancer. Read More

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Acalculous cholecystitis with gallbladder necrosis in a patient presenting without abdominal pain.

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

Department of Internal Medicine, University of Florida College of Meicine, Gainesville, Florida, USA.

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. Read More

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December 2020

Spontaneous cholecystocutaneous fistula: an uncommon complication of acute cholecystitis.

BMJ Case Rep 2020 Dec 15;13(12). Epub 2020 Dec 15.

Department of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, Cologne, North Rhine Westphalia, Germany.

A 78-year-old man presented to the hospital with acute right upper quadrant pain, fever and nausea. A focused abdominal ultrasound and abdominal CT scan were performed demonstrating an acute calculous cholecystitis with gallbladder perforation. Although a CT-guided cholecystostomy was performed and a pericholecystic abscess was relieved promptly, the patient developed a cholecystocutaneous fistula in the right hypochondriac region. Read More

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December 2020

Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome - Infrequent Manifestation Precipitated by a Common Procedure.

Eur J Case Rep Intern Med 2020 2;7(12):001953. Epub 2020 Oct 2.

Internal Medical Department, Ahmadi Hospital - Kuwait Oil Company, Kuwait.

Cholesterol embolization syndrome (CES) is an atherosclerotic complication affecting different systems with various clinical manifestations, usually triggered iatrogenically by interventional and surgical procedures or thrombolytic therapy, although spontaneous cases have been reported. The hepatobiliary system can also be affected when the showered cholesterol crystals obliterate small vessels within this system causing both ischaemic and inflammatory responses. We describe a case of a male patient who initially developed multiple lacunar cerebral infarcts 10 days post-thrombolytic therapy and percutaneous coronary intervention (PCI) due to acute myocardial infarction. Read More

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October 2020

Clinical characteristics and management of acute cholecystitis after cardiovascular surgery.

J Hepatobiliary Pancreat Sci 2021 Feb 16;28(2):211-220. Epub 2020 Dec 16.

Department of Surgery, Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Background: Acute cholecystitis (AC) is a severe complication after cardiovascular surgery (CS). The purpose of this study was to delineate the clinical picture of AC after CS to propose an optimal treatment strategy.

Methods: We retrospectively reviewed the records of 88 patients who underwent cholecystectomy for grade II or III AC between 2008 and 2019 (AC after CS: Group CS, n = 37; AC without CS: Group non-CS, n = 51). Read More

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February 2021

Development of concomitant diseases in COVID-19 critically ill patients.

Rev Esp Anestesiol Reanim (Engl Ed) 2021 Jan 7;68(1):37-40. Epub 2020 Sep 7.

Departamento de Anestesia y Cuidados Críticos. Hospital Universitario de Bellvitge. Universidad de Barcelona, Barcelona, España; Grupo de Fisiopatología Perioperatoria y Dolor. Instituto de Investigación Biomèdica de Bellvitge, Barcelona, España.

It may be necessary a consideration about the best approach to the acute concomitant problems that critical COVID-19 patients can develop. They require a rapid diagnosis and an early treatment by a multidisciplinary team. As a result, we would like to describe two clinical cases a patient with diagnosis of COVID-19 pneumonia with good respiratory evolution that, after extubation suffered an acalculous cholecystitis and a patient with COVID-19 pneumonia that suffered an overinfection with necrotising pneumonia that presented with haemoptysis and was finally treated with arterial embolisation by the interventional radiologist's team. Read More

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January 2021

Unusual gastrointestinal manifestations of COVID-19: two case reports.

Gastroenterol Hepatol Bed Bench 2020 ;13(4):410-414

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

As of December 2019, a new strain of coronavirus named severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was discovered in Wuhan, China, following an epidemic of a fast-spreading viral respiratory disease, later called Coronavirus Disease 2019 (COVID-19), which then lead to the present pandemic the world has come to know. Patients who tested positive for COVID-19 are mostly asymptomatic or present with mild self-limiting symptoms. While GI symptoms occur with less prevalence, they are increasingly being reported. Read More

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January 2020

Post COVID 19 acute acalculous cholecystitis raising the possibility of underlying dysregulated immune response, a case report.

Ann Med Surg (Lond) 2020 Dec 13;60:434-437. Epub 2020 Nov 13.

Hamad Medical Corporation, Doha, Qatar.

Introduction: Novel Coronavirus disease 2019 or COVID-19 has rapidly spread throughout the world and has become an unprecedented pandemic. It has a vast spectrum of clinical presentations and can affect various organs. Rarely, it has been reported to cause acalculous cholecystitis in a non ICU setting patient. Read More

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December 2020

All the World Is a Nail: Why Are Surgeons Resistant to Learn How to Place Cholecystostomy Drains in Seriously Ill Patients With Acute Acalculous Cholecystitis?

Jay Requarth

Am Surg 2020 Nov 20;86(11):1462-1466. Epub 2020 Nov 20.

Surgeons routinely provide palliative care, but often the technical procedure needed for the palliative intervention is beyond our training and comfort zone. This case is an example of surgical palliative care that utilizes image-guided techniques to provide optimal care. A frail elderly patient with multiple comorbidities who had been hospitalized for other diseases was diagnosed with acute acalculous cholecystitis. Read More

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November 2020

Evaluation and management of the surgical abdomen.

Curr Opin Crit Care 2020 12;26(6):648-657

Department of Critical Care Medicine, University of British Columbia, Vancouver, British Columbia.

Purpose Of Review: The aim of this study was to describe important features of clinical examination for the surgical abdomen, relevant investigations, and acute management of common surgical problems in the critically ill.

Recent Findings: Lactate remains a relatively nonspecific marker of gut ischemia. Dual energy computed tomography (DECT) scan can improve diagnosis of bowel ischemia. Read More

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December 2020

Gallbladder Perforation Into the Peritoneal Cavity.

Clin Nucl Med 2021 Feb;46(2):e84-e85

Departments of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT.

Abstract: Gallbladder perforation is an uncommon but morbid complication of acute cholecystitis with mural ischemia and necrosis. The most common site of perforation is the fundus because of limited blood supply in this region. The Niemeier classification proposed in 1934 remains the criterion standard in grading gallbladder perforation; type 1 is acute with free perforation into the peritoneal cavity, type 2 is subacute with pericholecystic abscess, and type 3 is chronic with cholecystoenteric fistula. Read More

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February 2021

Synchronous Acute Acalculous Cholecystitis and Appendicitis Due to Group D: A Rare Case Report From China and Review of the Literature.

Front Med (Lausanne) 2020 18;7:406. Epub 2020 Aug 18.

Rheumatology Department, Shenzhen Hospital, The University of Hong Kong, Shenzhen, China.

Non-typhoidal (NTS) disease is not common as typhoid fever but has become a global public health problem in recent decades. Acute acalculous cholecystitis (AAC) and appendicitis are rare complications of NTS infection, which are usually difficult to be diagnosed with atypical signs. Pathogenesis of NTS-induced AAC and NTS-induced appendicitis is still unclear. Read More

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