title: Acute acalculous cholecystitis immediately after gastric operation: case report and literatures review.
abstract: Acute acalculous cholecystitis (AAC) is a rare complication of gastric surgery. The most commonly accepted concepts regarding its pathogenesis are bile stasis, sepsis and ischemia, but it has not been well described how to identify and manage this disease in the early stage. We report three cases of AAC in elderly patients immediately after gastric surgery, which were treated with three different strategies. One patient died 42 d after emergency cholecystectomy, and the other two finally recovered through timely cholecystostomy and percutaneous transhepatic gallbladder drainage, respectively. These cases informed us of the value of early diagnosis and proper treatment for perioperative AAC after gastric surgery. We further reviewed reported cases of AAC immediately after gastric operation, which may expand our knowledge of this disease.
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Feng-Lin
authors.initials: FL
authors.lastname: Liu
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: He
authors.initials: H
authors.lastname: Li
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Xue-Fei
authors.initials: XF
authors.lastname: Wang
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Kun-Tang
authors.initials: KT
authors.lastname: Shen
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Zhen-Bin
authors.initials: ZB
authors.lastname: Shen
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Yi-Hong
authors.initials: YH
authors.lastname: Sun
authors.affiliation: Feng-Lin Liu, He Li, Xue-Fei Wang, Kun-Tang Shen, Zhen-Bin Shen, Yi-Hong Sun, Xin-Yu Qin, Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Xin-Yu
authors.initials: XY
authors.lastname: Qin
mesh_terms: D042101:Acalculous Cholecystitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000368:Aged; D002763:Cholecystectomy; D041881:Cholecystitis, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002767:Cholecystostomy; D017809:Fatal Outcome; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Acute acalculous cholecystitis; Gastric surgery; Postoperative complication