A 65-year-old man with chronic hepatitis C and no history of alcohol abuse was admitted to our liver unit for the recent development of massive ascites and presumed hepatorenal syndrome. In the preceding two weeks, he had received medical treatment for acute pancreatitis and cholecystitis. Abdominal paracentesis demonstrated a cloudy, orange peritoneal fluid, with total protein concentration 3....

Background: Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder without gallstones in setting critical illness. It represents 2%–15% acute (AC) cases. Bacteremia associated with increased morbidity and mortality rates patients intensive care unit (ICU). The incidence bacteremia calculous (ACC) has been described; however, AAC not reported. We hypothesized that have higher...

Primary Epstein-Barr virus (EBV) infection is almost always a self-limited disease characterized by sore throat, fever, and lymphadenopathy. Hepatic involvement is usually characterized by mild elevations of aminotransferases and resolves spontaneously. Although isolated gallbladder wall thickness has been reported in these patients, acute acalculous cholecystitis is an atypical presentation of...

BACKGROUND The periesophageal vagus nerve plexus controls the kinetics of the stomach, digestive tract, and gallbladder, and catheter ablation of atrial fibrillation (AF) can cause vagus nerve injury (VNI). We sought to clarify the incidence, clinical course, and anatomical factors related to periesophageal VNI. METHODS The present study included 257 consecutive patients with AF (mean age, 62...

Dear Editor, we read with great interest the case report written by Dr Souza LJ et al. titled “Acute acalculous cholecystitis in a teenager with hepatitis A virus infection: a case report” published in the February 2009 issue of the Brazilian Journal of Infectious Diseases. The authors describe a case of acalculous cholecystitis (AC) in a 16-year-old male during an episode of hepatitis A virus ...