[Acute acalculous cholecystitis].
A previously healthy 32-year-old man presented with fever, upper abdominal pain and leukocytosis of 5 days duration. Ultrasonography and CT-scan of the abdomen were not diagnostic. On laparotomy acute gangrenous acalculous cholecystitis was found and was successfully treated by cholecystectomy. This condition is a well-known complication in critically ill patients. However, physicians should be aware of its possible occurrence even in previously healthy ambulatory patients, since a delayed diagnosis carries a significant risk of perforation and death.
Fenakel
G
G
Medical Dept. A, Kaplan Hospital, Rehovot.
Schattner
A
A
D000208:Acute Disease; D000328:Adult; D002763:Cholecystectomy; D002764:Cholecystitis / Q000175:diagnosis* / Q000601:surgery; D005734:Gangrene; D006801:Humans; D008297:Male