Computed tomography imaging of complications of acute cholecystitis

Schiappacasse, Giancarlo; Soffia, Pablo; Silva, Claudio; Villacrés, Fabián

doi:10.4103/ijri.ijri_316_17

Cited by 4 publications

(4 citation statements)

References 11 publications

(42 reference statements)

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“…Today, complications of the gallbladder have decreased thanks to the early diagnosis and treatment of cholecystitis. Gangrenous cholecystitis is a serious complication of EC (10,11). In our case, acute abdomen accompanied by constipation first suggested ileus.…”

Section: Discussionmentioning

confidence: 59%

Acute Emphysematous Cholecystitis Rarely Accompanied by Necrotized Cystic Duct: A Case Report

Menekşe

Kişi

2023

Journal of Emergency Medicine Case Reports

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Abstract Emphysematous cholecystitis is an acute abdominal disease characterized by gas in the gallbladder lumen and wall. Emphysematous cholecystitis and related cystic duct necrosis are rare, but if not noticed, they can cause a mortal picture up to perforation and sepsis. In this article, we present a case of emphysematous cholecystitis involving gangrenous gallbladder and necrotizing cystic duct, which developed suddenly in an immunosuppressive patient who presented to the emergency department with abdominal pain and was treated with rapid emergency successful surgery.

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Section: Discussionmentioning

confidence: 59%

Acute Emphysematous Cholecystitis Rarely Accompanied by Necrotized Cystic Duct: A Case Report

Menekşe

Kişi

2023

Journal of Emergency Medicine Case Reports

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“…Right Upper Quadrant Ultrasound (RUQ U/S) continues to be the first step in diagnostic imaging, which shows gallbladder wall thickening, indicative of cholecystitis [11]. There is some difficulty visualizing cholecystitis complications on U/S, so Computed Tomography (CT) is often used to make an early diagnosis [12]. Studies show that early cholecystectomy is effective and can lower the mortality of cholecystitis [13].…”

Section: Discussionmentioning

confidence: 99%

Untitled

2023

IJCMCR

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Pancreatic carcinoma is one of the most aggressive forms of cancer that often presents in its late stages. Due to its silent nature, it can manifest with a rapid clinical progression and, similarly to other types of cancer, metastasize to other organs. In a few instances, metastatic cancer can invade bile ducts and arteries, leading to an obstruction that can precipitate the formation of hemorrhagic and gangrenous cholecystitis. Little research has explored the association between pancreatic cancer and simultaneous hemorrhagic and gangrenous cholecystitis development. This ground-breaking report showcases a 60-year-old male patient presenting with jaundice, abdominal pain, and CA-19-9. Computed Tomography (CT) discovered severe metastatic pancreatic cancer and cholecystitis. Surgical management with laparoscopic cholecystectomy discovered a gangrenous gallbladder with hemorrhagic bile and extensive areas of necrosis. This report aims to examine the etiology of gangrenous and hemorrhagic cholecystitis and its simultaneous development secondary to metastatic pancreatic cancer.

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“…The main complications associated with gallstones are acute cholecystitis, choledocholithiasis, acute pancreatitis, and cholangitis, leading to liver abscesses (5) . These complications occur due to the calculus migration and its impaction into the cystic duct or the central bile duct (choledochal) (6) .…”

Section: Clinical and Epidemiological Evaluation Of Complications Ass...mentioning

confidence: 99%

Clinical and Epidemiological Evaluation of Complications Associated With Gallstones in a Tertiary Hospital

Aguiar

Júnior

et al. 2022

Arq. Gastroenterol.

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Background: Gallstones are the presence of bile clay in the gallbladder or bile ducts. The disease can be asymptomatic or symptomatic and can lead to complications and consequently a worse prognosis, such as acute cholecystitis, choledocholithiasis, cholangitis, and acute pancreatitis. The risk of complications increases after the first episode of biliary colic. Objective: A clinical-epidemiological evaluation of patients admitted to a gastroenterology ward of a tertiary care hospital with gallstone-related complications. Methods: We evaluated 158 patients admitted through discharge reports and medical records analysis from January 1, 2013, to February 24, 2021. Results: The female sex was predominant (76.6%), and the mean age of patients was 51.6 years. Men were significantly older than women (P=0.005). Most (57.6%) had some comorbidity, the most frequent being systemic arterial hypertension, diabetes mellitus, and obesity. The mean hospitalization time was 24 days, significantly longer in men (P=0.046) but without a direct relationship with age (P=0.414). The most frequent complication was choledocholithiasis, and 55.7% of patients without previous cholecystectomy had a report of biliary colic before admission, on average 1.5 years previously. A history of a prior cholecystectomy was present in 17.1% of those evaluated. Abdominal ultrasonography followed by magnetic resonance cholangiography was the most frequently performed exam for diagnostic definition. Regarding therapeutic measures, endoscopic retrograde cholangiopancreatography was necessary for 47.3% of patients without previous cholecystectomy and 81.4% of patients who have already had a cholecystectomy. Among patients not yet cholecystectomized, 84% underwent the procedure before discharge. Conclusion: The female patients were predominant. Men were significantly older than women and had more extended hospital stays. The most frequent complication was choledocholithiasis, and around half of the patients reported previous biliary colic. endoscopic retrograde cholangiopancreatography has been necessary for the majority of the patients.

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Computed tomography imaging of complications of acute cholecystitis

Cited by 4 publications

References 11 publications

Acute Emphysematous Cholecystitis Rarely Accompanied by Necrotized Cystic Duct: A Case Report

Acute Emphysematous Cholecystitis Rarely Accompanied by Necrotized Cystic Duct: A Case Report

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Clinical and Epidemiological Evaluation of Complications Associated With Gallstones in a Tertiary Hospital

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