Acute Acalculous Cholecystitis following The Cemented Hemiarthroplasty in an Elderly Hip Fracture Patient: Case Report

Postoperative acute acalculous cholecystitis (AAC) was a well-known abdominal complication of general surgery [1-3], but in orthopedic surgery only sporadic case reports could be retrieved [4-7]. Postoperative AAC was unrelated to the biliary tract, which was characterized by gallbladder inflammation without evidence of calculi or sludge [8]. Once postoperative AAC occurs, the disease progressed fastly, such as obscure, fulminating, and rapid progression to sepsis and perforation, which may eventually lead to death. As far as we know, there has been no report published about AAC following cemented hemiarthroplasty in hip fracture patients. Herein, we report an extremely rare case of postoperative AAC following cemented hemiarthroplasty in a hip fracture patient where proper diagnosis was made and an otherwise potentially fatal outcome was averted.