Salmonellal acute acalcular cholecystitis complicated by biliary candidal obstruction: An unusual presentation

Abstract

Acute acalcular cholecystitis is a disease that mainly affects the immune compromised and severely ill patients. More often than not, the condition has a subtle presentation, yet it follows an aggressive course. Here, we present a case of acalcular salmonellal cholecystitis, which was further complicated by candidal biliary obstruction. Cholecystostomy and biliary irrigation with amphotericin B solution, in addition to systemic antifungal treatment, helped to resolve the grave situation.