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A case report of acalculous cholecystitis due to Salmonella paratyphi B

Syma Iqbal1, Mesooma Khajinoori2, Brendon Mooney3

  • 1Barwon Health, 2 Villiers Drive Point cook, Victoria 3030, Australia.

Radiology Case Reports
|September 21, 2018
PubMed

Insights

Acute acalculous cholecystitis (AAC) is a rare gallbladder inflammation. Prompt diagnosis using CT scans and ultrasound is crucial for managing this surgical emergency, especially when caused by Salmonella infections.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Diagnostic Imaging

Background:

  • Acute acalculous cholecystitis (AAC) is a rare, severe gallbladder inflammation affecting 5%-10% of acute cholecystitis cases.
  • Systemic infections, including those by *E. coli*, *Klebsiella pneumoniae*, *Vibrio cholera*, and *Salmonella* species, can trigger AAC.
  • Untreated AAC presents a high mortality risk due to potential gallbladder gangrene or perforation, classifying it as a surgical emergency.

Observation:

  • A case study involving a 60-year-old female patient presenting with AAC.
  • The patient's AAC was attributed to Salmonella-induced gastroenteritis.
  • Clinical presentation mimicked acute cholecystitis.

Findings:

  • Prompt utilization of radiological imaging, specifically computed tomography (CT) scans and ultrasound, was instrumental.
  • These imaging modalities facilitated accurate pathologic diagnosis.
  • Radiology guided the patient's overall follow-up and management.

Implications:

  • Highlights the importance of considering AAC in patients with severe systemic infections and gastroenteritis.
  • Emphasizes the critical role of advanced imaging techniques in the early diagnosis and management of AAC.
  • Underscores the need for prompt surgical and medical intervention to reduce mortality associated with AAC.
Keywords:
Acalculous cholecystitisIschemiaPericholecystic fluidSalmonella paratyphi B

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