Open AccessAcute acalculous cholecystitis immediately after gastric operation: Case report and literatures review
Author(s) -
Fenglin Liu,
Ling He,
Xuefei Wang,
Kuntang Shen,
Zhenbin Shen,
Yihong Sun,
Xinyu Qin
Publication year - 2014
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v20.i30.10642
Subject(s) - medicine , cholecystectomy , perioperative , general surgery , complication , sepsis , surgery , cholecystitis , disease , cholecystostomy , gallbladder , gallbladder disease , acute cholecystitis
Acute acalculous cholecystitis (AAC) is a rare complication of gastric surgery. The most commonly accepted concepts regarding its pathogenesis are bile stasis, sepsis and ischemia, but it has not been well described how to identify and manage this disease in the early stage. We report three cases of AAC in elderly patients immediately after gastric surgery, which were treated with three different strategies. One patient died 42 d after emergency cholecystectomy, and the other two finally recovered through timely cholecystostomy and percutaneous transhepatic gallbladder drainage, respectively. These cases informed us of the value of early diagnosis and proper treatment for perioperative AAC after gastric surgery. We further reviewed reported cases of AAC immediately after gastric operation, which may expand our knowledge of this disease.