A Deceptively Quiet Case of Gangrenous Cholecystitis
Rachel M Johnson1, Greta L Becker2
1Medicine, University of Iowa, Iowa City, USA.
Abstract:
Acute gangrenous cholecystitis is a severe complication of acute cholecystitis. We report a 70-year-old male with type 1 diabetes mellitus who presented with intractable vomiting without abdominal pain. CT imaging showed gallbladder wall thickening and concern for gallbladder perforation. Patient underwent a laparoscopic cholecystectomy, which revealed a gangrenous gallbladder with surrounding purulent drainage. The patient recovered after an extended hospital course. This case highlights the importance of considering atypical presentations of severe intra-abdominal pathology in diabetic patients.
Related Concept Videos
Cholecystitis
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Acute Pancreatitis II: Pathophysiology
Acute Pancreatitis I: Introduction
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Chronic Pancreatitis II: Collaborative Care
Assessment:
