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Related Experiment Videos

[Acute acalculous cholecystitis after digestive caustic burn].

J M Saissy, H Taobane, H Mabrouk

    Annales Francaises D'Anesthesie Et De Reanimation
    |January 1, 1985
    PubMed
    Summary

    A patient developed acute acalculous cholecystitis after a digestive burn and total parenteral nutrition. Prompt cholecystectomy led to full recovery, highlighting potential complications of nutritional support.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Digestive burns can necessitate complex nutritional management.
    • Total parenteral nutrition (TPN) is a critical intervention for patients unable to sustain oral intake.
    • Complications associated with TPN require careful monitoring and timely intervention.

    Observation:

    • A patient with a digestive burn received TPN for nutritional support.
    • Symptoms of right upper quadrant pain and fever emerged 26 days into TPN and shortly after resuming oral feeding.
    • Abdominal ultrasonography revealed gallbladder distension, wall thickening, and sludge formation.

    Findings:

    • The patient was diagnosed with acute acalculous cholecystitis.
    • Surgical intervention (cholecystectomy) resulted in complete clinical recovery.

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  • The case suggests a multifactorial etiology involving the burn, TPN, and feeding resumption.

    • Implications:

    • This case underscores the risk of gallbladder dysfunction during TPN, particularly after severe gastrointestinal injury.
    • Clinicians should maintain a high index of suspicion for cholecystitis in patients on TPN presenting with abdominal pain.
    • Early diagnosis and surgical management appear effective in resolving TPN-associated cholecystitis.