Related Experiment Video

Updated: Aug 19, 2026

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
03:27

The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

Published on: January 31, 2025

Acute acalculous cholecystitis following coronary artery bypass surgery

D G Healy1, D Veerasingam, P R O'Connell

  • 1Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland. cardiothoracic@eircom.net

Irish Journal of Medical Science
|February 8, 2005
PubMed

Insights

Acute acalculous cholecystitis (AAC) after cardiac surgery is rare but serious. Early diagnosis and individualized treatment, such as cholecystectomy or drainage, are key to successful outcomes in these complex cases.

Area of Science:

  • Cardiovascular Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Cardiac surgery with cardiopulmonary bypass (CPB) can lead to infrequent but severe gastrointestinal complications.
  • Acute acalculous cholecystitis (AAC) is a critical post-cardiac surgery complication with high mortality if diagnosis or treatment is delayed.

Observation:

  • This report details two cases of AAC occurring after coronary artery bypass graft (CABG) surgery.
  • Treatment strategies were individualized based on patient condition.

Findings:

  • One patient underwent cholecystectomy, while the other received percutaneous drainage.
  • Both individualized treatment approaches resulted in successful patient outcomes.

Implications:

  • Vigilance and prompt diagnosis are crucial for managing AAC post-cardiac surgery.
  • Patient's clinical status dictates the optimal management strategy for AAC after cardiac surgery.
Abstract

More Related Videos

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Related Concept Videos

Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...