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

No abstract available.
Aged, 80 and over ; Cholecystitis/*complications/diagnosis ; Hemobilia/diagnosis/*etiology ; Humans ; Jaundice, Obstructive/etiology ; Male

Adult ; Aged ; Aged, 80 and over ; Cholecystitis ; complications ; Humans ; Middle Aged ; Shock, Hemorrhagic ; etiology ; physiopathology

Percutaneous liver biopsy is well established for the diagnosis and follow-up of many liver diseases. Although it is rather safe, major complications, such as bleeding into the peritoneal or thoracic cavity, hemobilia, enteric perforation and intrahepatic hematoma, have been reported related to the procedure. Recently, incidence of such major complications has been decreased since the introduction of ultrasonography-guided liver biopsy. We report a case of 59-year-old female patient with acute cholecystitis secondary to hemobilia 2 days after ultrasonography-guided percutaneous liver biopsy.
Biopsy, Needle/*adverse effects ; Cholecystitis, Acute/*etiology ; Female ; Hemobilia/*etiology ; Humans ; Liver/*pathology ; Middle Aged ; Ultrasonography, Interventional

We report a case of tension pneumothorax after an endoscopic sphincterotomy. A 78-yr-old woman presented with progressing dyspnea. She had undergone an endoscopic retrograde cholangiopancreatogram three days before due to acute cholecystitis. She underwent endoscopic sphincterotomy for stone extraction, but the procedure failed. On arrival to our hospital, she complained about severe dyspnea and she had subcutaneous emphysema. A computed tomogram scan revealed severe subcutaneous emphysema, right-side tension pneumothorax, and pneumoretroperitoneum. Contrast media injected through a transnasal biliary drainage catheter spilled from the second portion of the duodenum. A second abdominal computed tomogram showed multiple air densities in the retroperitoneum and peritoneal cavity, which were consistent with panperitonitis. We recommended an emergent laparotomic exploration, but the patient's guardians refused. She died eventually due to septic shock. Endoscopic retrograde cholangiopancreatogram is a popular procedure for biliary and pancreatic diseases, but it can cause severe complications such as intestinal perforation. Besides perforations, air can spread through the abdominal cavity, retroperitoneum, mediastinum, and the neck soft tissue, eventually causing pneumothorax. Early recognition and appropriate management is crucial to an optimal output of gastrointestinal perforation and pneumothorax.
Acute Disease ; Aged ; Cholangiopancreatography, Endoscopic Retrograde/*adverse effects ; Cholecystitis/diagnosis ; Female ; Humans ; Intestinal Perforation/etiology ; Pneumothorax/*diagnosis/etiology ; Retropneumoperitoneum/*diagnosis/etiology ; Sphincterotomy, Endoscopic ; Tomography, X-Ray Computed

Gallbladder paraganglioma is a very rare tumor and so far only a few cases have been reported. Most of these were asymptomatic and were found incidentally during operation. Recently, we experienced a gallbladder paraganglioma that gave rise to hemorrhage, which in turn caused acute cholecystitis. Our case involved a 45 year-old female patient complaining of an intermittent right upper abdominal pain. After a preoperative evaluation, cholecystectomy and lymphadenectomy were performed under the impression of gallbladder cancer with acute cholecystitis. Postoperative pathologic examination revealed a hemorrhagic gallbladder paraganglioma accompanied by acute cholecystitis. Immunohistochemical staining of the chief cells for neuron specific enolase, chromogranin and synaptophysin were positive. Sustentacular cells also stained positively for S100 protein.
Acute Disease ; Case Report ; Cholecystitis/*etiology ; Female ; Gallbladder Neoplasms/*complications/pathology ; Hemorrhage/*complications ; Human ; Immunohistochemistry ; Middle Age ; Paraganglioma/*complications/pathology

A biliary fistula from the gallbladder can develop as a result of the erosion of stones into the surrounding viscera. An 82-year-old woman with multiple comorbid diseases presented with a persisting discharge from what was thought to be an abscess in the right hypochondrium, which had previously been drained. Sinogram confirmed fistulous communication with the gallbladder and gastric antrum. The fistulous tract was excised together with the gallbladder, and the gastric defect was repaired. The patient made an uneventful recovery.
Aged, 80 and over ; Biliary Fistula ; diagnosis ; etiology ; pathology ; Cholecystitis ; complications ; diagnosis ; pathology ; Cutaneous Fistula ; diagnosis ; pathology ; Diagnosis, Differential ; Female ; Gastric Fistula ; diagnosis ; etiology ; pathology ; Humans ; Pyloric Antrum ; pathology

Obesity is an important health problem in the world and related to many critical diseases, such as diabetes, cardiovascular disease, and metabolic syndrome. Obesity leads to fat infiltration of multiple organs and infiltrated adipose tissue produces many cytokines resulting in the dysfunction of organs such as the gallbladder. In the biliary diseases, obesity and overweight have been known as a major risk factor for gallstones. According to current studies, obesity, insulin resistance, hyperinsulinemia, and metabolic syndrome are related to various gallbladder diseases including gallbladder stones, cholecystitis, gallbladder polyps, and gallbladder cancers. We reviewed further literature on the obesity and gallbladder diseases, in aspects of epidemiology, mechanism, pathology and prevention.
Body Mass Index ; Cholecystitis/etiology ; Exercise ; Gallbladder Diseases/drug therapy/epidemiology/*etiology/prevention & control ; Gallbladder Neoplasms/epidemiology/etiology ; Gallstones/epidemiology/etiology ; Humans ; Hyperinsulinism ; Hypolipidemic Agents/therapeutic use ; Insulin Resistance ; Obesity/*complications ; Ursodeoxycholic Acid/therapeutic use ; Weight Loss

Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.
Aged ; Aged, 80 and over ; Cholecystitis, Acute/*diagnosis/*etiology/therapy ; Diagnosis, Differential ; Female ; Humans ; Male ; Republic of Korea ; Scrub Typhus/*complications/*diagnosis/therapy ; Treatment Outcome

Aneurysm, False ; diagnosis ; diagnostic imaging ; etiology ; Cholecystitis ; diagnosis ; diagnostic imaging ; physiopathology ; Diabetes Mellitus ; diagnostic imaging ; therapy ; Humans ; Male ; Middle Aged ; Radiography