Acalculous Gangrenous Cholecystitis in a Young Patient: A Case Report | [Journal of Liaquat University of Medical and Health Sciences • 2024]

Author(s):

1. Faiyyaz ur Rehman: Department of Emergency Medicine, Pak-Oman Hospital, Pasni, Baluchistan, Pakistan

2. Shahzore Gul: Department of General Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

3. Kanwal Hanif: Department of General Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

4. Dipa Yadav: Department of Pediatrics Medicine, Norvic International Hospital, Kathmandu, Nepal

5. Imran Khan: Department of General Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

6. Roshan: People's Primary Healthcare Initiative, Sindh, Pakistan

Abstract:

We present a 20 years old male with no known comorbid in emergency complaining of pain localized to the right upper quadrant for two days, followed by fever (101F) with 15-16 episodes of vomiting, which were non-bilious and containing food particles. The patient was vitally stable on examination and had a mild jaundiced look; the abdomen was soft and tender over the right hypochondrium. Ultrasound of the abdomen showed a hypoechoic liver and thick-walled acalculous gall bladder along with pericholecystic fluid, suggesting acute cholecystitis. On further evaluation, the diagnosis of gangrenous cholecystitis was made, and an emergency exploratory laparotomy along with a cholecystectomy was performed.

Page(s): 266-269

DOI: 10.22442/jlumhs.2024.01143

Published: Journal: Journal of Liaquat University of Medical and Health Sciences, Volume: 23, Issue: 03, Year: 2024

Keywords:

Cholecystectomy , exploratory laparotomy , Gangrenous cholecystitis , Acalculous gall bladder

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