A Case of Asymptomatic Perforated Gangrenous Cholecystitis in a Diabetic Patient: A Critical Condition.
| Autor: | Lahham EE; Department of Radiation Oncology, Augusta Victoria Hospital, Jerusalem, PSE., Ghweir AA; Faculty of Medicine, Palestine Polytechnic University, Hebron, PSE., Alsalah QA; Faculty of Medicine, Palestine Polytechnic University, Hebron, PSE., Alsahouri MI; Faculty of Medicine, Palestine Polytechnic University, Hebron, PSE., AlQadi M; Faculty of Medicine, Palestine Polytechnic University, Hebron, PSE.; Department of General Surgery, Beit-Jala Governmental Hospital, Bethlehem, PSE. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Oct 30; Vol. 15 (10), pp. e48014. Date of Electronic Publication: 2023 Oct 30 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.48014 |
| Abstrakt: | Gangrenous cholecystitis (GC) is a severe form of acute cholecystitis (AC) with ischemia and necrosis of the gallbladder (GB) wall. Patients with GC are sicker than the usual AC patients, and their surgical treatment is more complex and linked with a higher risk of morbidity and mortality. Typically, the first imaging modality used to assess patients with clinically suspected AC is ultrasound. However, if the ultrasound results were inconclusive, a CT scan might help evaluate these individuals. Our study presents a 62-year-old male who presented with mild right upper quadrant discomfort. However, an abdominal computed tomography CT scan showed a pericholecystic fluid collection with a sign of GB perforation that was managed with subtotal cholecystectomy. Five days after the operation, the patient was discharged to home in excellent condition. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Lahham et al.) |
| Databáze: | MEDLINE |
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