A Case of Gallbladder Perforation Complicated by Acalculous Cholecystitis due to Non-Typhoidal Salmonella.
- Author:
Hye Soo YOO
1
;
Sung Chan JEON
;
Hong Sub LEE
;
Jun Ha SONG
;
Min Wook JUNG
;
Sung Won CHO
;
Jae Youn CHEONG
Author Information
1. Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea. jaeyoun620@gmail.com
- Publication Type:Case Report
- Keywords:
Non-typhoidal salmonellosis;
Acalculous cholecystitis;
Gallbladder perforation
- MeSH:
Acalculous Cholecystitis;
Adult;
Aged;
Chills;
Cholecystectomy;
Cholecystostomy;
Diarrhea;
Fever;
Gallbladder;
Humans;
Salmonella;
Salmonella Infections
- From:Korean Journal of Medicine
2011;81(5):636-640
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Salmonella infections can cause a variety of diseases, but acute acalculous cholecystitis complicated by gallbladder perforation occurs very rarely in adults. Here, we report a case of acute acalculous cholecystitis with gallbladder perforation after non-typhoidal group D Salmonella infection. A 71-year-old man was admitted with fever, chills, and watery diarrhea. Blood cultures taken on admission were positive for non-typhoidal group D Salmonella. The patient subsequently developed acute acalculous cholecystitis, and abdominal ultrasound and computed tomography revealed gallbladder perforation. Because of other medical problems, cholecystectomy could not be performed. The patient's symptoms and signs were not resolved, even after parenteral antibiotic injection and percutaneous cholecystostomy. Despite meticulous supportive care, the patient died after progression to multiple organ dysfunction.
