Acute acalculous cholecystitis after laparoscopic appendectomy in a young healthy patient: report of a case

Abstract

Acute acalculous cholecystitis (AAC) is defined as acute inflammation of the gallbladder in the absence of gallstones. AAC occurs in patients after major surgery and in the presence of serious co-morbidities such as severe trauma, burns, sepsis, prolonged intravenous hyperalimentation and hemodynamic instability. AAC is rare in patients with none of the established risk factors. We present a case of a 38-year-old woman who developed AAC after laparoscopic appendectomy.

Ūminis Kalkulinis Cholecistitas: Etiologija, Rizikos Veiksniai, Klinikiniai Simptomai Ir Diagnostika

“…Dažniausiai ūminis cholecistitas prasideda tulžies akmenims užkimšus tulžies latakus, tik apie 10 proc. atvejų tulžies latakų obstrukcijos akmenimis nerandama [2]. Pacientai skundžiasi pykinimu, vėmimu, skausmu po dešiniuoju šonkaulių lanku, o skausmas dažniausiai suintensyvėja suvalgius riebaus maisto [3].…”