Funch-Jensen, "Endoscopic gallbladder drain-age of patients with acute
cholecystitis," Endoscopy, vol.
The patient was transferred to the gastroenterology department with a diagnosis of hemobilia, acalculous
cholecystitis, and acute pancreatitis.
Acute acalculous
cholecystitis associated with gallbladder perforation is often seen with severe infections like pneumonia, viral infections, and with enteric fever where the causative organism Salmonella typhii was identified in bile and are further concentrated in gallbladder (7).
Keywords: Laparoscopic cholecystectomy; Subtotal cholecystectomy; Adhesions;
Cholecystitis; Callot's triangle.
On autopsy, the incidence increases up to 90 per 100,000 population.1 The condition is often misread by transabdominal ultrasonography as
cholecystitis leading to unnecessary surgery as was the case with our patient.5 The pathogenesis is a relation to embryological abnormality happening in the 4th week of an embryological period of failure of a ventrocaudal bud to develop from the hepatic diverticulum, or failure of the gallbladder and cystic duct to recanalize.6 Authors have classified the cases into three groups.
Acute acalculous
cholecystitis (AAC) is defined as an acute necro-inflammatory disease of the gallbladder in the absence of cholelithiasis and has a multifactorial pathogenesis.
Blood loss into the duodenum may be slow and intermittent; therefore, this makes pure clots likely to be stable rather than to be dissolved, and therefore, more likely to cause cystic duct obstruction and further worsening
cholecystitis (4).
Histopathological analysis revealed chronic
cholecystitis with no evidence of malignancy.
Acute acalculous
cholecystitis (AAC) is the inflammatory disease of the gallbladder in the absence of gallstones.
The previous CT [Figure 1]c showed a normal portal vein lumen and portal vein system, with the exception of a major portal vein thrombosis and a small pyogenic liver abscess due to acute
cholecystitis, while the most recent CT [Figure 1]b revealed abnormalities of the portal vein.
Background and Objective: Acute
cholecystitis (AC) is an inflammation of the gallbladder.
According to him, these symptoms can also be showing that the child has a condition known as 'Acute Acalculous
Cholecystitis (AAC)''.
While patients with diagnosis of acute
cholecystitis without pus in gall bladder, biliary colic and cholelithiasis were excluded from study.
A 67-years-old woman showed the symptoms of acute
cholecystitis and cholelithiasis.
However, larger gallstones may become lodged in one of the ducts, where they can block the flow of bile and cause inflammation in your gallbladder, a condition called
cholecystitis.
Cholecystitis also may occur if a tumor blocks a bile duct.