Open AccessEosinophilic Cholecystitis presenting with Common Bile Duct Sludge and Cholangitis: A Case Report
Author(s) -
Niraj Kumar Keyal,
Pooja Adhikari,
Basu Dev Baskota,
Ujwal Rai,
Ajay Singh Thakur
Publication year - 2020
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.4684
Subject(s) - medicine , eosinophilia , cholecystectomy , cholecystitis , eosinophilic , biliary colic , common bile duct , eosinophilic pneumonia , differential diagnosis , gallbladder , jaundice , gastroenterology , surgery , pathology , respiratory disease , lung
Eosinophilic cholecystitis is a rare post-cholecystectomy inflammatory histopathological condition characterized by more than 90% eosinophilic infiltrate in the gallbladder. We present a case of 27-year female presented with abdominal pain, fever, jaundice, altered mental status, shock, leucocytosis, deranged liver function test, and peripheral blood eosinophilia. The patient underwent cholecystectomy and common bile duct exploration. She developed adult respiratory distress syndrome and hospital-acquired pneumonia. From this, we want to emphasize that eosinophilic cholecystitis and cholangiopathy should be a differential diagnosis in patients presenting with allergy, peripheral eosinophilia, obstructive jaundice that are planned to undergo cholecystectomy that will have early critical care intervention.