title: Eosinophilic cholecystitis with common bile duct stricture: a rare disease.
abstract: Although the most common cause of cholecystitis is gallstones, other conditions may present as acute cholecystitis. We describe a case of eosinophilic cholecystitis with common bile duct stricture. A 36-year-old woman initially had generalised abdominal pain and peripheral eosinophilia. Diagnostic laparoscopy showed eosinophilic ascites and necrotic nodules on the posterior abdominal wall. She was treated with anthelminthics on presumption of toxacara infection based on borderline positivity of serological tests. She later presented with acute cholecystitis and had a cholecystectomy and choledocotomy. Day 9 T-tube cholangiogram showed irregular narrowing of the distal common bile duct. The patient's symptoms were improved with steroids and the T-tube was subsequently removed.
authors.affiliation: Caboolture Hospital, Caboolture, Queensland, Australia.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mehanna
authors.affiliation: Queensland Health, Caboolture, Queensland, Australia.
authors.forename: Zainab
authors.initials: Z
authors.lastname: Naseem
authors.affiliation: Department of General Surgery, Caboolture Hospital, Caboolture, Queensland, Australia.
authors.forename: Muslim
authors.initials: M
authors.lastname: Mustaev
mesh_terms: D000328:Adult; D002763:Cholecystectomy / Q000295:instrumentation; D002764:Cholecystitis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D003135:Common Bile Duct / Q000473:pathology* / Q000601:surgery*; D003251:Constriction, Pathologic / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D035583:Rare Diseases; D013256:Steroids / Q000008:administration & dosage / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D013256:Steroids