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Acute acalculous cholecystitis after gastrointestinal surgery
Lya Crichlow1, Sarah Walcott-Sapp, Joshua Major
1Department of Surgery, Tulane University, New Orleans, LA 70112, USA.
The American Surgeon
|February 29, 2012
Summary
Acute acalculous cholecystitis is a rare but serious complication after gastrointestinal surgery. Early detection is crucial due to high rates of gangrene and mortality.
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Acute acalculous cholecystitis (AA-CC) is a rare complication.
- It is frequently observed in critically ill patients, post-trauma, post-burn, and postoperatively.
- Gastrointestinal surgery, particularly gastric and colorectal procedures, is most commonly implicated.
Purpose of the Study:
- To review the literature on AA-CC following gastrointestinal surgery.
- To highlight the clinical presentation, outcomes, and mortality associated with this condition.
Main Methods:
- A comprehensive review of the English literature was conducted.
- Twenty-eight articles reporting 76 cases of AA-CC after gastrointestinal operations were analyzed.
Main Results:
- The review identified 76 cases of AA-CC post-gastrointestinal operations.
- Over half (52.4%) of patients developed gangrenous AA-CC.
- The mortality rate was 21.1%, significantly higher than in calculous cholecystitis.
Conclusions:
- AA-CC following gastrointestinal surgery carries a high risk of gangrene and mortality.
- A high index of suspicion and prompt diagnosis are essential for improved patient outcomes.
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