Title: Acute cholecystitis presenting with septicemia an interesting case report

Authors: Dr Gopinath.G M.S, Dr Thivagar. T M.S

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.144

Abstract

Acute choleycytitis and gall bladder diseases remain a commonentity in surgery. But acute cholecystitis presenting in younger age group with septicemia remain a challenging case to manage. We report a interesting case of acute choleycystitis presenting with sepsis. A 28 year old young[1] male came with complaints of abdomen pain and vomiting. Initial ultrasound showed acute choleycystitis and blood investigation showed elevated renal parameters. Patient went to sever septicemia and surgery has to be done to eliminate the sepsis.

Keywords: Acute choleycytitis, septicemia, emergency cholecystectomy.

References

  1. Lyon C, Clark DC: Diagnosis of acute abdominal pain in olderpatients. Am Fam Physician 2006, 74(9):1537-1544.
  2. Ryu JK, Ryu KH, Kim KH. Clinical features of acute acalculouscholecystitis. J Clin Gastroenterol 2003;36:166–9. (level 4).
  3. Sanson TG, O'Keefe KP: Evaluation of abdominal pain in theelderly. Emerg Med Clin North Am 1996, 14(3):615-627.
  4. Jeffrey RB Jr, Sommer FG. Follow-up sonography in suspectedacalculous cholecystitis: preliminary clinical experience. J UltrasoundMed 1993;12:183–7. (level 4).
  5. Smith JP, Bodai BI. Empyema of the gallbladder — potentialconsequence of medical intensive care. Crit Care Med 1982;10:451–2. (level 4).
  6. Glenn F, Becker CG: Acute acalculous cholecystitis. Anincreasing entity. Ann Surg 1982, 195(2):131-136.
  7. Winkler AP, Gleich S. Acute acalculous cholecystitis caused bySalmonella typhi in an 11-year-old. Pediatr Infect Dis J 1988;7:125–8. (level 4).
  8. Unusual cases of acute cholecystitis and cholangitis:Tokyo Guidelines J Hepatobiliary Pancreat Surg (2007) 14:98– 113 DOI 10.1007/s00534-006-1162-9
  9. Acute reversiblerenal failure in patients withacute cholecystitis and cholangitis. R.P. Burden, D.V. ASH, W.N. BOYD, J.G. GRAY, G.M ABERD.O.I: http://dx.doi.org/ 65-77 first published online: 1 January 1975.
  10. Johnson LB. The importance ofearly diagnosis of acute acalculouscholecystitis. Surg Gynecol Obstet 1987;164:197–203. (level4).
  11. Kalliafas S, Ziegler DW, Flancbaum L, Choban PS. Acute acalculouscholecystitis: incidence, risk factors, diagnosis, and outcome. Am Surg 1998;64:471–5. (level 4).

Corresponding Author

Dr Gopinath.G

Assistant Professor, Department of General Surgery, Thanjavur Government Medical College and Hospital, Thanjavur

Communicating address: no 1558 South Street Natchiyarkoil, Kumbakonam, Thanjavur, Tamil Nadu 612602, India

Phone no: 9487488961, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.