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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation

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Duodenal Ulcer Perforation Causing Acute Cholecystitis.

Kensuke Konagaya¹, Nao Kume², Hidemitsu Ogino²

¹Surgery, Narita Tomisato Tokushukai Hospital, Chiba, JPN.

|May 30, 2024

Summary

A duodenal ulcer rarely caused acute cholecystitis in this case. This rare cause of acalculous cholecystitis highlights the importance of considering duodenal ulcers in differential diagnoses.

Keywords:

acalculous cholecystitis duodenal ulcer fifth lumbar vertebra compression fracture laparoscopic surgery nsaids

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

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Published on: March 25, 2022

Area of Science:

Gastroenterology
Surgical Pathology

Background:

Acute cholecystitis is typically caused by gallstones.
Acalculous cholecystitis presents without gallstones and has various causes including impaired blood flow, infection, and chemical injury.

Observation:

A patient presented with symptoms suggestive of acute cholecystitis.
Initial diagnostics like physical examination, blood tests, and ultrasound indicated acute cholecystitis.
Contrast-enhanced CT revealed no gallstones but showed a duodenal ulcer with adjacent gallbladder inflammation.

Findings:

The patient was diagnosed with secondary cholecystitis due to a perforated duodenal ulcer.
Laparoscopic cholecystectomy with omental patching was successfully performed.

Implications:

This case underscores that duodenal ulcer perforation is a rare but critical cause of acalculous cholecystitis.
Clinicians should include duodenal ulcers in the differential diagnosis for acalculous cholecystitis, especially when gallstones are absent.