acute acalculous cholecystitis

acute acalculous cholecystitis

A rare but serious condition (up to 50% mortality) affecting approximately 5% of patients undergoing cholecystectomy, in which no stones are present in the inflamed gallbladder.
 
Clinical findings
Fever, right-upper quadrant pain.

Predisposing factors
ICU, long-term TPN, diabetes, pregnancy, sepsis, hepatitis A.

Lab
CBC count, liver function tests, blood culture; bile cultures are negative in half of cases.

Pathogenesis
Uncertain, possibly bile stasis and increased lithogenicity of bile.

Management
Open or laparoscopic cholecystectomy.
References in periodicals archive ?
AC is divided into acute calculous cholecystitis (ACC) and acute acalculous cholecystitis (AAC).
104) Finally, acute acalculous cholecystitis has a high false negative rate.
Acute acalculous cholecystitis (AAC) is acute inflammation of the gallbladder in the absence of gallstones.
Acute acalculous cholecystitis in young patients without predisposing factors.
Acute acalculous cholecystitis (ACC) is rare, but important cause of cholecystitis in pediatrics (1).
We propose that for patients with acute acalculous cholecystitis and a high suspicion for Q fever, doxycycline be given empirically.
Acute acalculous cholecystitis associated with Q fever: report of seven cases and review of the literature.
Acute acalculous cholecystitis is inflammation of the gallbladder in the absence of gallstones.
Acute acalculous cholecystitis (AAC) is recognised to occur only in patients with serious comorbid illnesses such as after major surgery, severe trauma, burns, multiorgan failure, systemic sepsis and prolonged intravenous hyperalimentation.
A diagnosis of acute acalculous cholecystitis was made, and the patient was referred for a cholecystectomy.
Owen CC, Bilhartz LE Gallbladder polyps, cholesterolosis, adenomyomatosis, and acute acalculous cholecystitis.