Acute Cholecystitis, A Rare Complication Following Routine Colonoscopy: Case Series and Literature Review
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Colonoscopy is a commonly performed low-risk gastrointestinal procedure that may rarely result in a serious complication. Patients presenting with abdominal pain and fever after colonoscopy may have acute cholecystitis. The underlying mechanisms are unclear. Such patients usually present within 72 hours of the procedure. Treatment includes intravenous antibiotics and cholecystectomy. We present our experience of two such cases; a 56-year-old man and a 21-year-old man, both of whom developed acute calculus cholecystitis within 48 hours after a routine colonoscopy. Their symptoms resolved after cholecystectomy.Cite
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Chronic cholecystitis, with cholelithiasis and choledocholithiasis, and acute cholecystitis occur more frequently in elderly persons than in younger ones. Because of the serious and often fatal complications which these conditions cause, cholecystectomy should be advised for chronic cholecystitis with stones whenever the condition exists. Elderly patients for whom operation is not strongly contraindicated tolerate simple cholecystectomy well.Acute cholecystitis usually is best managed by early surgical treatment.The most common condition requiring abdominal surgical treatment in the aged is disease of the biliary tract.
Chronic cholecystitis
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We collected data from 2070 patients who had undergone cholecystectomy for acute cholecystitis, investigating the circumstance of preoperative antimicrobial therapy. The duration of preoperative antimicrobial therapy was significantly longer in delayed cholecystectomy than early cholecystectomy (p<0.001). The number of types of antimicrobial drugs was also significantly greater in delayed cholecystectomy patients. The length of preoperative hospital stay in accordance with the number of antimicrobial drugs used in delayed cholecystectomy (p<0.001). This study suggests the importance of early cholecystectomy and the appropriate use of preoperative antimicrobial drugs for acute cholecystitis.
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Open cholecystectomy
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Acute Cholecystitis is uncommon in children. This study reports our experience of acute cholecystitis in children. It is a retrospective study of all the
children managed in the National Hospital of Donka (Conakry), within a 6-year period (January 1998 to December 2003). The data analyzed included age, clinical features, laboratory features and outcome ofmanagement. There were 58 patients with acute cholecystitis, (M:F=2:1). The most common causes of acute cholecystitis were Salmonella typhi organisms in 36 patients followed by stones in 8. Thirty four patientswere treated non-operatively but cholecystectomy was carried out in 24 patients. The mortality ratewas 10.34%. Salmonella and stones are the most common causes of childhood acute cholecystitis in Guinea Conakry. Acute cholecystitis is associated with significant mortality in
children. Keywords : Acalculus cholecystitis, Salmonella typhi,
calculus cholecystitis. African Journal of Paediatric Surgery Vol. 4 (2) 2007: pp. 79-81
Sick child
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Background: The gallbladder is surgically removed in a cholecystectomy. The prevalence of gallbladder carcinoma is determined by examining cholecystectomy specimens. Gallbladder carcinoma is an extremely unusual condition that affects more women than men. The goal of this study is to find out how common gallbladder cancer is in medical centers over five years. Objective: To determine the frequency and prevalence of Gallbladder cancer (GBC) in tertiary care hospitals over five years Methods: We analyzed the record of 1835 patients who underwent cholecystectomy at our tertiary care center, Mayo Hospital Lahore. Results: Adenocarcinoma was found in only 7 cases (0.4%) out of 1835 cholecystectomy specimens. Gallbladder cancer is more common in females (6, 85.71%) than in males (1 case, 14.78%). Chronic cholecystitis accounted for the majority of the cases (1703, or 92.8%), followed by acute cholecystitis (66, or 3.6%), Xanthogranulomatous, cholecystitis (30, or 1.6%), gangrenous cholecystitis (6, or 0.34%), follicular cholecystitis (3, or 0.016%) and one case (0.05%) each of cholesterolosis, foci of chronic inflammation, hemorrhagic infarction and empyema gallbladder. 13 cases (0.79%) was partially or fully autolyzed. Conclusion: Chronic cholecystitis is the most common disease in cholecystectomy specimens followed by acute cholecystitis, Xanthogranulomatous cholecystitis, gangrenous cholecystitis, follicular cholecystitis, and empyema gallbladder. Gallbladder carcinoma is very rare and more common in females than males.
Gallbladder Cancer
Gallbladder disease
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