Perforated acute acalculous cholecystitis caused by hepatitis a
Cuk, P.; Iqbal, M.; Lykke, J.
Ugeskrift for Laeger 176(16)
2014
ISSN/ISBN: 1603-6824 PMID: 25351402 Document Number: 674034
Acute acalculous cholecystitis is a rare condition associated with a high risk of gangrene, empyema and perforation of the gallbladder. In this case report it is described how hepatitis A infection leads to a fulminant perforated acalculous chole-cystitis, which is described sporadically in the literature. The patient presented in this case report had icterus and highly elevated liver enzymes. Magnetic resonance cholangiopan-crea-tography showed an acalculous gallbladder surrounded by free fluid. Laparoscopic cholecystectomy was performed due to sus-picion of perforated acute acalculous cholecystitis.