Acute acalculous cholecystitis causing gall bladder perforation in children

Karkera, Parag; Sandlas, Gursev; Ranjan, Ritesh; Gupta, Abhaya; Kothari, Paras

doi:10.4103/0971-9261.72439

Cited by 19 publications

(24 citation statements)

References 7 publications

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“…Female dominance of type III perforation, which develops mainly in patients < 50 years of age, has previously been reported (1920). Nevertheless, it has not yet been established whether this indicates that clinical manifestations of acute acalculous GB disease differ by gender or it is merely a coincidental finding.…”

Section: Discussionmentioning

confidence: 76%

Age, Predisposing Diseases, and Ultrasonographic Findings in Determining Clinical Outcome of Acute Acalculous Inflammatory Gallbladder Diseases in Children

Chang

Kim

et al. 2016

J Korean Med Sci

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We evaluated clinical factors such as age, gender, predisposing diseases and ultrasonographic findings that determine clinical outcome of acute acalculous inflammatory gallbladder diseases in children. The patients were divided into the four age groups. From March 2004 through February 2014, clinical data from 131 children diagnosed as acute acalculous inflammatory gallbladder disease by ultrasonography were retrospectively reviewed. Systemic infectious diseases were the most common etiology of acute inflammatory gallbladder disease in children and were identified in 50 patients (38.2%). Kawasaki disease was the most common predisposing disease (28 patients, 21.4%). The incidence was highest in infancy and lowest in adolescence. The age groups were associated with different predisposing diseases; noninfectious systemic disease was the most common etiology in infancy and early childhood, whereas systemic infectious disease was the most common in middle childhood and adolescence (P = 0.001). Gallbladder wall thickening was more commonly found in malignancy (100%) and systemic infection (94.0%) (P = 0.002), whereas gallbladder distension was more frequent in noninfectious systemic diseases (60%) (P = 0.000). Ascites seen on ultrasonography was associated with a worse clinical course compared with no ascites (77.9% vs. 37.7%, P = 0.030), and the duration of hospitalization was longer in patients with ascites (11.6 ± 10.7 vs. 8.0 ± 6.6 days, P = 0.020). In conclusion, consideration of age and predisposing disease in addition to ultrasonographic gallbladder findings in children suspected of acute acalculous inflammatory gallbladder disease might result in better outcomes.

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Section: Discussionmentioning

confidence: 76%

Age, Predisposing Diseases, and Ultrasonographic Findings in Determining Clinical Outcome of Acute Acalculous Inflammatory Gallbladder Diseases in Children

Chang

Kim

et al. 2016

J Korean Med Sci

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“…USG, CT scan and a radionuclide scan are used for confirmation of the diagnosis 3. Management includes cholecystectomy with peritoneal lavage 4. Despite our mistake in diagnosis which was hollow viscous perforation made by us we managed the patient disease adequately which is cholecystectomy for gall bladder perforation.…”

Section: Discussionmentioning

confidence: 96%

Spontaneous gallbladder perforation in a patient of situs inversus totalis, misdiagnosed as perforation peritonitis due to gas under the right dome of the diaphragm

Kumar

2015

BMJ Case Reports

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Acute biliary tract disease is a common condition in adults. Apart from bile duct perforation, spontaneous perforation of the gallbladder itself is very rare in all age groups; to date, all recorded cases are secondary to coexistent disease. We present the case report of a 60-year-old adult having an idiopathic gallbladder perforation. In our case, an unusual presentation was situs inversus totalis and fundal gas shadow was considered as free air under the right dome of the diaphragm by mistake. The patient underwent laparotomy and emergency cholecystectomy was performed in the perforated gallbladder. To date, no case has been described in the literature.

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“…Sıklıkla safra kesesi altta yatan sistemik hastalığın tedavisi ile yaklaşık iki hafta içinde normale dönmektedir. Kolesistektomi, peritonite yol açan safra kesesi perforasyonu veya nekrozu gibi olgularda düşünülmelidir (14).…”

Section: Discussionunclassified

Akut Viral Hepatit A Enfeksiyonuna Bagli Gelisen Akut Tassiz Kolesistit: Iki Olgu Sunumu

2017

GMJ

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ÖZETAkut taşsız kolesistit (ATK), taş ve safra çamuru olmaksızın safra kesesinin enflamasyonudur. Gangren, perforasyon ve ampiyem gibi komplikasyonlara sebep olduğu için yüksek mortalite ve morbidite ile ilişkilidir. Altta yatan hastalığa göre medikal veya cerrahi tedavi uygulanabilir. Çocuklarda sepsis, şok, uzamış açlık, total parenteral nutrisyon, çoklu kan transfüzyonu ATK gelişimi için en önemli risk faktörleridir. Ayrıca akut viral hepatitlerin nadir bir komplikasyonu olarak ATK gelişebilir. Bu yazıda hepatit A virüs enfeksiyonu sonucu akut kolesistit gelişen ve destekleyici tedaviyle tamamen düzelen iki olgu sunulacaktır. ABSTRACTAcute acalculous cholecystitis (AAC) is defined as the inflammation of the bile duct without stone or biliary sludge. It is associated with high mortality and morbidity since it may lead to complications such as gangrene, perforation and empyema. According to the underlying cause, medical or surgical treatment is performed. The most important risk factors for the development of AAC in children are sepsis, shock, prolonged fasting, total parenteral nutrition and multiple blood transfusions. Acute acalculouscholecystitis also can occur as a rare complication of acute viral hepatitis. This report describes acute cholecystitis in two cases which developed as a result of hepatitis A virüs infection and resolved completely with supportive management.

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Acute acalculous cholecystitis causing gall bladder perforation in children

Abstract: We report two cases of children who presented with acute abdomen due to gall bladder perforation and biliary peritonitis. Cholecystectomy with peritoneal lavage proved curative.

Cited by 19 publications

References 7 publications

Age, Predisposing Diseases, and Ultrasonographic Findings in Determining Clinical Outcome of Acute Acalculous Inflammatory Gallbladder Diseases in Children

Age, Predisposing Diseases, and Ultrasonographic Findings in Determining Clinical Outcome of Acute Acalculous Inflammatory Gallbladder Diseases in Children

Spontaneous gallbladder perforation in a patient of situs inversus totalis, misdiagnosed as perforation peritonitis due to gas under the right dome of the diaphragm

Akut Viral Hepatit A Enfeksiyonuna Bagli Gelisen Akut Tassiz Kolesistit: Iki Olgu Sunumu

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