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Gallbladder strangulation caused by a fibrotic band due to chlamydia infection: A case report

Komei Kuge1,2, Yoichi Kawano1, Daigo Yoshimori1,2

  • 1Department of Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Japan.

Asian Journal of Endoscopic Surgery
|November 9, 2023
PubMed

Insights

Strangulated cholecystitis, a rare gallbladder condition caused by a band, mimics gallbladder torsion. This case highlights a unique cause and the need for emergency surgery in such rare gallbladder emergencies.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute cholecystitis commonly results from gallstones obstructing the cystic duct.
  • Strangulated cholecystitis is an exceptionally rare condition where a band constricts the gallbladder, mimicking gallbladder torsion.
  • Both conditions present with obstructed blood and biliary flow, necessitating urgent surgical intervention.

Observation:

  • The case involved a 90-year-old woman presenting with gallbladder strangulation.
  • The strangulation was attributed to a fibrotic band, a sequela of a chlamydia infection.

Findings:

  • Imaging findings of strangulated cholecystitis are similar to gallbladder torsion.
  • Both conditions involve obstruction of blood and biliary flow, necessitating urgent surgical intervention.

Implications:

  • This case expands the known etiologies of strangulated cholecystitis.
  • Highlights the importance of considering infectious causes for fibrotic band formation leading to surgical emergencies.

Keywords:
chlamydia infectioncholecystitisstrangulation

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