A Case of Chronic Acalculous Cholecystitis Diagnosed by Delayed Contrast Emptying in Gallbladder.
- Author:
Chang Won KIM
1
;
Jong Min LEE
;
Jane COH
;
In Sung JUNG
;
Ki Man KANG
;
Shin Hong JUNG
;
Gye Sung LEE
;
Anna KIM
;
Seung Soo KWAK
;
Mi Sun LEE
Author Information
1. Department of Internal Medicine, Sun General Hospital, Daejeon, Korea. hallymjj@daum.net
- Publication Type:Case Report ; English Abstract
- Keywords:
Acalculous cholecystitis;
Endoscopic retrograde cholangiopancreatography
- MeSH:
Acalculous Cholecystitis/*radiography;
Adult;
*Cholangiopancreatography, Endoscopic Retrograde;
Chronic Disease;
*Contrast Media;
English Abstract;
Female;
Gallbladder Emptying;
Humans
- From:The Korean Journal of Gastroenterology
2004;43(5):320-323
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Chronic acalculous cholecystitis is a diagnosis of exclusion in patients complaining acalculous biliary pain. The possible causes of acalculous biliary pain are chronic gallbladder (GB) inflammation, GB dysfunction, cholesterolosis, cystic duct stenosis or microlithiasis. Recently, laparoscopic cholecystectomy is the choice of treatment for acalculous biliary pain. We experienced a 32-year-old woman whose initial symptoms were right upper quadrant pain and nausea only. The abdominal computed tomography, DISIDA scan, and upper and lower endoscopic examinations were nonspecific. Up to 48 hours after endoscopic retrograde cholangiopancreatography, contrast emptying of GB was delayed, implying dysfunctional GB. As the patient's right upper quadrant pain and tenderness became aggravated, the laparoscopic cholecystectomy was done and the final diagnosis of chronic acalculous cholecystitis was confirmed.
