Acute Acalculous Cholecystitis versus Acute Calculous Cholecystitis: Review 1970-1988

1992 ◽  
Vol 9 (3) ◽  
pp. 121-124 ◽  
Author(s):  
Haim Gutman ◽  
Ofer Landau ◽  
Alexander A. Deutsch ◽  
Menashe Haddad ◽  
Raphael Reiss
Keyword(s):  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Acute Calculous Cholecystitis ◽  
Calculous Cholecystitis

Acute acalculous cholecystitis: from common to rare causes

2014 ◽  
Vol 155 (3) ◽  
pp. 89-91 ◽  
Author(s):  
Tamás Kullmann ◽  
Ákos Issekutz ◽  
Attila Oláh ◽  
István Rácz
Keyword(s):  
Surgical Intervention ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Therapeutic Approaches ◽  
Surgical Interventions ◽  
Acute Calculous Cholecystitis ◽  
Calculous Cholecystitis ◽  
Secondary Condition

Diagnostic and therapeutic approaches of acute calculous cholecystitis are well defined. Cholecystectomy is among the most frequently performed surgical interventions. In contrast, acute acalculous cholecystitis is a secondary condition; its cause may be difficult to determine and indication for surgical intervention has not been clearly established. The authors summarize the primary causes of acute acalculous cholecystitis and discuss ultrasonographic features which may help the decision to perform cholecystectomy in patients with acalculous cholecystitis. Orv. Hetil., 2014, 155(3), 89–91.

Acute Acalculous Cholecystitis after Gastrointestinal Surgery

2012 ◽  
Vol 78 (2) ◽  
pp. 220-224 ◽  
Author(s):  
Lya Crichlow ◽  
Sarah Walcott-Sapp ◽  
Joshua Major ◽  
Bernard Jaffe ◽  
Charles F. Bellows
Keyword(s):  
Postoperative Period ◽  
Medical Center ◽  
English Literature ◽  
Gastrointestinal Surgery ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Left Hemicolectomy ◽  
High Level ◽  
Calculous Cholecystitis ◽  
Colorectal Procedures

Acute acalculous cholecystitis has been identified as a rare but potentially devastating entity after trauma, and burns, as well as in critically ill patients, and in the postoperative period. Gastrointestinal surgery is most frequently implicated in postoperative acute acalculous cholecystitis, especially after gastric and colorectal procedures. Review of the English literature identified 28 articles reporting 76 cases of acute acalculous cholecystitis after gastrointestinal operations, which included a case from Tulane University Medical Center of a 64-year-old man who developed postoperative acute acalculous cholecystitis after elective left hemicolectomy. A total of 52.4 per cent of the patients developed gangrenous acute acalculous cholecystitis, with a mortality rate of 21.1 per cent, much higher than that reported in postoperative calculous cholecystitis. This emphasizes the need for a high level of suspicion and early detection in the postoperative period to avoid devastating consequences.

scholarly journals An Unexpected Case of Perforated Acalculous Cholecystitis Caused by a Fish Bone

2019 ◽  
Vol 28 (3) ◽  
pp. 355-358
Author(s):  
Nicolae Iustin Berevoescu ◽  
Florin Andrei Grama ◽  
Luminița Welt ◽  
Mihaela Berevoescu ◽  
Adrian Bordea ◽  
...  
Keyword(s):  
Laparoscopic Approach ◽  
Acalculous Cholecystitis ◽  
Fish Bone ◽  
Subphrenic Abscess ◽  
Gastrointestinal Fistula ◽  
Acute Calculous Cholecystitis ◽  
Good Clinical Condition ◽  
Calculous Cholecystitis ◽  
Gallbladder Inflammation

Gallbladder inflammation is most often determined by the presence of gallstones. Acalculous cholecystitisusually occurs in patients with multiple comorbidities or with an immunosuppressed status, and therefore itsevolution is faster and more severe compared to acute calculous cholecystitis. The presence of a fish bone intothe peritoneal cavity, through a gastrointestinal fistula is not very rare, but acute cholecystitis caused by a fishbone is unexpected. Here, we present the case of a 75-year old woman who had eaten fish two months beforeand presented at the Emergency Room with perforated acalculous cholecystitis and a right subphrenic abscess.The laparoscopic approach permitted the evacuation of the subphrenic abscess, bipolar cholecystectomy andremoval of a fish bone from nearby the cystic duct. Postoperative evolution was uneventful, with hospitaldischarge after five days. The patient was in good clinical condition at two months follow-up.

scholarly journals Outcomes of Percutaneous Cholecystostomy

2012 ◽  
Vol 1 (1) ◽  
pp. 20-23
Author(s):  
Rahul J Anand ◽  
Laurie Punch ◽  
Amy C Sisley ◽  
Steven b Johnson ◽  
Matthew Lissauer
Keyword(s):  
Acute Cholecystitis ◽  
Retrospective Chart Review ◽  
Acalculous Cholecystitis ◽  
Definitive Treatment ◽  
Percutaneous Cholecystostomy ◽  
Acute Calculous Cholecystitis ◽  
Open Operation ◽  
Biliary Pathology ◽  
Emergency Cholecystectomy ◽  
Calculous Cholecystitis

ABSTRACT Objective Emergency cholecystectomy in patients with severe comorbidities carries up to 30% mortality. Percutaneous cholecystostomy (PC) is accepted as acute management in these patients. This study evaluated outcomes of PC and the need for subsequent cholecystectomy. Methods Retrospective chart review evaluated all patients undergoing PC between June 1, 2005 and January 1, 2010. Results Fifty four patients underwent PC. Indications included acute calculous cholecystitis (44%), acalculous cholecystitis (33%) and other (22%). Twelve patients had PC related complications. Seventeen patients underwent CCY 144 ± 133 days after PC placement. 71% of those procedures were converted to open operation. 15% of patients had PC tube removed successfully without cholecystectomy, 62 ± 53 days after PC. Fifteen patients died in hospital after PC, four likely related to biliary pathology. Patients who underwent subsequent cholecystectomy were more likely to have had a diagnosis of acute cholecystitis (71% vs 33%, p < 0.05). Patients with a diagnosis of acalculous cholecystitis trended toward a higher likelihood of death compared to acute cholecystitis (8 of 18, 44% vs 4 of 24, 17%, p = 0.08). Conclusion PC can be definitive treatment in a minority of patients with acalculous cholecystitis and severe comorbidities. Interval cholecystectomy carries a high complication rate. How to cite this article Ferrada PA, Anand RJ, Punch L, Sisley AC, Johnson SB, Lissauer M . Outcomes of Percutaneous Cholecystostomy. Panam J Trauma Critical Care Emerg Surg 2012;1(1):20-23.

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

2021 ◽  
Vol 13 (1) ◽  
pp. 86-90
Author(s):  
Carlos Leganés Villanueva ◽  
Ilaria Goruppi ◽  
Nuria Brun Lozano ◽  
Federica Bianchi ◽  
María Quinteiro González ◽  
...  
Keyword(s):  
Infectious Mononucleosis ◽  
Epstein Barr Virus ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis ◽  
Epstein Barr Virus Infection ◽  
Barr Virus ◽  
Acute Complications ◽  
Epstein Barr ◽  
Barr Virus Infection ◽  
Human Viruses

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. A surgical approach must be considered in the case of acute complications such as perforation or gallbladder gangrene. We present the case of a 10-year-old female patient with AAC due to infectious mononucleosis syndrome caused by primary EBV infection.

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