Abstract
IntroductionGangrenous cholecystitis is a severe complication of acute cholecystitis. We present an unusual case of gangrenous cholecystitis which was totally asymptomatic, with normal pre-operative parameters, and was discovered incidentally during a laparoscopic cholecystectomy. We have not found any similar cases in the published literature.Case presentationA 79-year-old British Caucasian man presented initially with acute cholecystitis which responded to conservative management. After six weeks he was asymptomatic and had normal blood parameters. An elective laparoscopic cholecystectomy was performed and our patient was found to have a totally gangrenous gall bladder.ConclusionIt is important to keep a high index of suspicion for the diagnosis of gangrenous cholecystitis in order to avoid potentially serious complications.
Highlights
Gangrenous cholecystitis is a severe complication of acute cholecystitis
It is important to keep a high index of suspicion for the diagnosis of gangrenous cholecystitis in order to avoid potentially serious complications
Fagan et al [5] demonstrated that nine variables were associated with Gangrenous cholecystitis (GC), but Contini et al [4], showed that there is no single clinical or laboratory finding, apart from a high white cell count (WCC), predictive of severe inflammation of the gallbladder
Summary
Gangrenous cholecystitis (GC) is a serious complication of acute cholecystitis [1,2]. Laboratory investigations on admission showed a WCC 23.7 × 109/L, CRP 148 mg/L, alkaline phosphatase 54 IU/ L, alanine aminotransferase 31 IU/L, bilirubin 12 mmol/ L, amylase
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
