Acalculous hemorrhagic cholecystitis is a rare complication of acute cholecystitis and is associated with a high mortality rate. We present a case of acalculous hemorrhagic cholecystitis with hematoma in the gallbladder lumen, which was diagnosed using magnetic resonance imaging (MRI). The T1- & T2-weighted MRI revealed gallbladder distension with a hypointense intraluminal hematoma. The excellent tissue contrast provided by MRI is useful for detecting hematomas in the cases of hemorrhagic cholecystitis.
Acalculous Cholecystitis ; Cholecystitis ; Cholecystitis, Acute ; Gallbladder ; Hematoma ; Magnetic Resonance Imaging

No abstract available.
Acalculous Cholecystitis* ; Churg-Strauss Syndrome* ; Colitis, Ischemic* ; Ulcer*

Mesenteric venous thrombosis is rare but can cause ischemia or infarction of small bowel. Mesenteric venous thrombosis is classified as either primary or secondary. Despite considerable advances in medical diagnosis and treatment, the diagnosis is often delayed and prognosis is still poor. We report three cases of mesenteric venous thrombosis treated by different modalities each other. The first case was superior mesenteric venous thrombosis secondary to acute acalculous cholecystitis and treated with anticoagulation. The second case was primary mesenteric venous thrombosis and treated by anticoagulation combined with percutaneous transhepatic thrombolysis. The third case was also primary mesenteric venous thrombosis, but, needed surgery with anticoagulation.
Acalculous Cholecystitis ; Diagnosis ; Infarction ; Ischemia ; Prognosis ; Venous Thrombosis*

PURPOSE: We evaluated the therapeutic efficacy and complications of percutaneous cholecystostomy in acalculou s acute cholecystitis. MATERIALS AND METHODS: We performed percutaneous cholecystostomy under ultrasound guidance for the treatment of 18 patients with acalculous acute cholecystitis. We retrospectively analyzed the therapeutic efficacy and complications. RESULTS: A dramatic improvement in clinical condition was observed in 16(88%) patients within 24 --48 hours. One patient was successfully treated with second trial because of technical failure at initial trial. No major complications occured except a gallbladder laceration. Most of patients complained minor symptoms such as fever, pain, mild dyspnea and refered pain to right shoulder, and these symptoms were resolved within one week. There was no complications related to vasovagal reflex. CONCLUSION: In the treatment of acalculous acute cholecystitis, percutaneous cholecystostomy is a safe and effective method.
Acalculous Cholecystitis* ; Cholecystitis, Acute ; Cholecystostomy* ; Dyspnea ; Fever ; Gallbladder ; Humans ; Lacerations ; Reflex ; Retrospective Studies ; Shoulder ; Ultrasonography

SLE is an autoimmune disease with multiorgan involvement and a wide range of clinical manifestations, and inflammation of gallbladder also can be represented. There were a few cases of acute acalculous cholecystitis (AAC) in previous reports. Most of them tended to already know about underlying SLE when detected AAC at that time. It may be difficult to detect AAC caused by SLE not due to biliary stone if physician is not conscious of undiagnosed lupus. We introduce a 70-year old female patient, who is diagnosed with AAC. Her symptoms were satisfied the ACR classification criteria for SLE, and was diagnosed with SLE, simultaneously. After a high dose steroid pulse therapy, followed by cyclophosphamide, her symptoms have improved rapidly. In order to better diagnose and treat the disease, we need to be aware of AAC as a potential manifestation of SLE.
Acalculous Cholecystitis* ; Autoimmune Diseases ; Cholecystitis ; Classification ; Cyclophosphamide ; Female ; Gallbladder ; Humans ; Inflammation ; Lupus Erythematosus, Systemic*

PURPOSE: Acalculous cholecystitis (ACC) is a rare, but potentially lethal disease, which occurs in critically ill patients and those recovering from non-biliary tract operations. Recently, an increase in the presentation of mild form ACC was noted to occur in outpatients. This study was performed to assess the clinical features and prognosis of ACC. METHODS: One thousand consecutive laparoscopic cholecystectomies, performed by a single surgeon at the Eulji Medical Center, between September, 2001 and May, 2005, were retrospectively analyzed. According to the clinical data, the preoperative findings, operative results and pathology reports, 35 patients were diagnosed with acalculous cholecystitis. RESULTS: No significant differences were found in the age and sex distributions, laboratory findings between ACC and calculous cholecystitis (CC) or incidence of associated diseases. The number of cases undergoing PTGBD, or with an inflammatory grade score during the operation, were higher for those with an ACC, but the operative times and conversion rates to open cholecystectomy were no different. Of the 35 ACC patients, only 20 had the true criteria of acute acalculous cholecystitis. However, the other 15 patients showed no strong evidence typical of acalculous cholecystitis. CONCLUSION: We experienced acalculous cholecystitis different from rare and lethal form of acalculous cholecystitis. But diagnosis of this mild form of ACC is also delayed due to lack of objective findings. High suspicious index of these diagnostic entities should be kept in mind and we should rule out other disease entities as soon as possible if ACC is questionable, so we can perform laparoscopic cholecystectomy safely on these mild forms of ACC.
Acalculous Cholecystitis* ; Cholecystectomy ; Cholecystectomy, Laparoscopic ; Cholecystitis ; Critical Illness ; Diagnosis ; Humans ; Incidence ; Operative Time ; Outpatients ; Pathology ; Prognosis ; Retrospective Studies ; Sex Distribution

Acalculous Cholecystitis ; microbiology ; Adult ; Cholecystitis, Acute ; diagnosis ; microbiology ; Enzyme-Linked Immunosorbent Assay ; Humans ; Leptospirosis ; complications ; diagnosis ; Male ; Pancreatitis ; etiology ; microbiology

Several gastrointestinal complications have been reported in association with systemic lupus erythematosus (SLE),including mesenteric vasculitis,bowel perforation,gastric or duodenal ulcer,necrotizing enterocolitis,spontaneous peritonitis,pancreatitis,spontaneous rupture of the liver or spleen and hepatomegaly.Acute acalculous cholecystitis is a rare disease that occurs in only 5~10%of patients with acute cholecystitis,typically in seriously ill patients. Reports of gallbladder diseases in patients with SLE are very scarce.Only seven cases of SLE complicated with acalculous cholecystitis have been reported so far, but not in Korea.Six cases were treated surgically by cholecystectomy or cholecystostomy,and one case was treated without surgical intervention.We added a case in which acute acalculous cholecystitis accompanying SLE was treated successfully by corticosteroid without surgical intervention.
Acalculous Cholecystitis* ; Cholecystectomy ; Gallbladder Diseases ; Humans ; Liver ; Lupus Erythematosus, Systemic* ; Rare Diseases ; Rupture ; Spleen

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.
Acalculous Cholecystitis ; Adult ; Aged ; Chills ; Cholecystectomy ; Cholecystostomy ; Diarrhea ; Fever ; Gallbladder ; Humans ; Salmonella ; Salmonella Infections

Although gallbladder (GB) perforation due to acalculous cholecystitis after kidney transplantation is rarely observed, it can be life threatening and result in cholecystectomy. Coronary artery aneurysm (CAA) is also rare and may require invasive therapy depending on its diameter. We report herein the case of a 69-year-old female who developed GB perforation due to acalculous cholecystitis after kidney transplantation and underwent cholecystectomy. The patient was later invasively treated when CCA was detected by coronary angiography.
Acalculous Cholecystitis ; Aneurysm ; Cholecystectomy ; Coronary Angiography ; Coronary Vessels ; Female ; Gallbladder ; Humans ; Kidney ; Kidney Transplantation