Acute Calculus Cholecystitis Misdiagnosed As Ileocecal Tumor in an Elderly Male: Review of the Ultrasonographic Findings: A Case Report

Sule Mb,Ribah Mm,Gele Ih,Shamaki Amb,Aliyu Az,Umar Au

doi:10.31579/2690-1919/223

Abstract

Gallstones present as acute calculus cholecystitis in about 20% of individuals with symptomatic disease, having a wide range of symptom severity. The adult population is most often affected in about 10-15% within the developed countries. This is a 75-year-old man that was referred for a confirmatory ultrasonography from a peripheral health centre on account of an entertained ileocecal tumor following an abdominal ultrasound scan done in a local health care facility. The patient had an abdominal ultrasonography that showed an impacted calculus in the infundibulum of the gallbladder measuring about 30mm x 30mm in dimension with associated distended gall bladder; this shows thick and trabeculated wall, heterogenous content with circumferential hypoechoic halo of acute cholecystitis. The patient had percutaneous cholecystectomy in the peripheral care facility and was reported to have done considerably well for discharge. We report the ultrasonographic findings of acute calculus cholecystitis due to its peculiarity and presentations.

Highlights

Acute calculus cholecystitis (ACC) follows an inflammatory or infectious process affecting the gall bladder wall most often accompanying an impacted gall bladder calculus in the infundibulum or in the cystic duct [1,2]
Gallbladder infection is most commonly acute cholecystitis, this is often triggered by three basic mechanisms, these are obstruction of the cystic duct by gallstones, release of lysolecithin, and ascending bacterial infection of the biliary fluid [5]
Acute calculus cholecystitis (ACC) follows an inflammatory or infectious process affecting the gall bladder wall most often accompanying an impacted gall bladder calculus in the infundibulum or in the cystic duct [1,2], the index case had an impacted calculus in the cystic duct with associated features of acute inflammatory process thereby conforming to these literatures

Summary

Introduction

Acute calculus cholecystitis (ACC) follows an inflammatory or infectious process affecting the gall bladder wall most often accompanying an impacted gall bladder calculus in the infundibulum or in the cystic duct [1,2]. Gallbladder infection is most commonly acute cholecystitis, this is often triggered by three basic mechanisms, these are obstruction of the cystic duct by gallstones, release of lysolecithin, and ascending bacterial infection of the biliary fluid [5].

Results

Conclusion