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Acalculous Cholecystitis Secondary to Hepatitis C Infection
Polina Gaisinskaya1, Samantha Sugerik1, Christopher M Gebara1
1Internal Medicine, Florida Atlantic University, Florida, USA.
Insights
Acute acalculous cholecystitis (AAC), gallbladder inflammation without stones, often occurs in critically ill patients. This case highlights acute-on-chronic hepatitis C infection as a potential cause of AAC.
Area of Science:
- Gastroenterology and Hepatology
- Critical Care Medicine
Background:
- Acute acalculous cholecystitis (AAC) is gallbladder inflammation without gallstones.
- It typically arises from gallbladder stasis or ischemia, triggering inflammation.
- AAC is often multifactorial and observed in critically ill patients.
Observation:
- Risk factors for AAC include trauma, burns, infections, parenteral nutrition, and surgery.
- This case involves a patient with acute-on-chronic hepatitis C infection.
- The hepatitis C infection was identified as the precipitating factor for AAC.
Findings:
- The patient presented with symptoms indicative of AAC.
- Diagnostic evaluation confirmed gallbladder inflammation without gallstones.
- Hepatitis C infection was identified as the underlying cause.
Implications:
- Hepatitis C infection should be considered in the differential diagnosis of AAC, especially in patients with risk factors.
- Early recognition and management of AAC in hepatitis C patients are crucial.
- This case expands the understanding of AAC etiology in specific patient populations.
Abstract:
Acute acalculous cholecystitis (AAC) represents gallbladder inflammation without evidence of gallstones. This typically results from gallbladder stasis and/or ischemia, which then causes a local inflammatory response within the wall. The condition is typically multifactorial and seen in critically ill patients, with associated risk factors that include trauma, burns, infections, total parenteral nutrition, and surgery. We present the case of a patient with acute-on-chronic hepatitis C infection leading to AAC.
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