Gangrenous cholecystitis in an asymptomatic patient found during an elective laparoscopic cholecystectomy: a case report
نویسندگان
چکیده
INTRODUCTION Gangrenous cholecystitis is a severe complication of acute cholecystitis. We present an unusual case of gangrenous cholecystitis which was totally asymptomatic, with normal pre-operative parameters, and was discovered incidentally during a laparoscopic cholecystectomy. We have not found any similar cases in the published literature. CASE PRESENTATION A 79-year-old British Caucasian man presented initially with acute cholecystitis which responded to conservative management. After six weeks he was asymptomatic and had normal blood parameters. An elective laparoscopic cholecystectomy was performed and our patient was found to have a totally gangrenous gall bladder. CONCLUSION It is important to keep a high index of suspicion for the diagnosis of gangrenous cholecystitis in order to avoid potentially serious complications.
منابع مشابه
Perforated gangrenous cholecystitis with concurrent Clostridium perfringens bacteraemia masquerading as adenomyomatosis of the gallbladder: A case report
Introduction: Clostridium perfringens (C. perfringens) is an unusual cause of bacteraemia in the healthy, immunocompetent host. Similarly, acalculous cholecystitis is rare in the absence of critical illness or preceding trauma. We present, to the best of our knowledge, the first documented case of concurrent C. perfringens bacteraemia and acalculous cholecystitis in a previously well human. Cas...
متن کاملAnesthetic Management of Patient with Severe Interstitial Pulmonary Fibrosis Undergoing Laparoscopic Cholecystectomy (Case Report)
We report the anesthetic management of a patient with severe pulmonary fibrosis for laparoscopic cholecystectomy using an i-gel. A 59-yr-old, 75 kg female was undergoing elective laparoscopic cholecystectomy for acute cholecystitis. The patient had severe pulmonary fibrosis requiring oxygen therapy at home. I-gel has proved to be effective in a patient with severe pulmonary fibrosis who underwe...
متن کاملRisk Factors of Gangrenous Cholecystitis in Patients with Acute Cholecystitis: A Cross-Sectional Study
Introduction: The aim of this study was to determine factors affecting the development of acute cholecystitis toward gangrenous cholecystitis in an Iranian society.Materials and Methods: In this cross-sectional study, all patients who underwent cholecystectomy in the educational hospitals of Khorramabad from August 2013 to August 2016 were included in the study regardless of their age ran...
متن کاملRisk Factors of Gangrenous Cholecystitis in Patients with Acute Cholecystitis: A Cross-Sectional Study
Introduction: The aim of this study was to determine factors affecting the development of acute cholecystitis toward gangrenous cholecystitis in an Iranian society.Materials and Methods: In this cross-sectional study, all patients who underwent cholecystectomy in the educational hospitals of Khorramabad from August 2013 to August 2016 were included in the study regardless of their age ran...
متن کاملGangrenous Cholecystitis in the Decade Before and After the Introduction of Laparoscopic Cholecystectomy
BACKGROUND Gangrenous cholecystitis is a severe form of acute cholecystitis with high morbidity. This study investigate the outcomes for patients undergoing cholecystectomy for gangrenous cholecystitis in the decade before and after the introduction of laparoscopic technology at our institution. METHODS From 1982 to 2002, all patients undergoing cholecystectomy for gangrenous cholecystitis we...
متن کامل