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[Acute acalculous cholecystitis]

G Fenakel¹, A Schattner

¹Medical Dept. A, Kaplan Hospital, Rehovot.

|March 1, 1994

Summary

This summary is machine-generated.

A previously healthy man developed acute gangrenous acalculous cholecystitis. Early recognition is crucial, as this condition can lead to perforation and death, even in non-critically ill patients.

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Acute gangrenous acalculous cholecystitis is typically seen in critically ill patients.
Prompt diagnosis and treatment are essential to prevent complications.

Observation:

A previously healthy 32-year-old male presented with fever and upper abdominal pain.
Initial imaging (ultrasound, CT scan) did not yield a diagnosis.

Findings:

Laparotomy revealed acute gangrenous acalculous cholecystitis.
The patient underwent successful cholecystectomy.

Implications:

Physicians must consider acalculous cholecystitis in previously healthy ambulatory patients.
Delayed diagnosis increases the risk of perforation and mortality.