Atypical presentation of gangrenous cholecystitis: A case series
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W.B. Saunders
Abstract
Gangrenous cholecystitis (GC) is a serious complication of acute cholecystitis that has been associated with increased morbidity. Patient with GC can present with a wide variety of non-specific clinical, laboratory, and imaging characteristics, making the diagnosis challenging. This disease requires emergent treatment, which is why a quick and reliable diagnosis is essential for the wellbeing of the patient. The authors herein present a case of GC in a patient whose initial complaint was intractable hiccups, and provide a thorough review of the literature of cases of GC with atypical presentations. © 2018 Elsevier Inc.
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Keywords
Atypical, Cholecystitis, Computed topography, Gangrenous, Intractable hiccups, Ultrasound, Aged, Cholecystectomy, laparoscopic, Cholecystitis, acute, Gallbladder, Gangrene, Humans, Male, Tomography, x-ray computed, Ultrasonography, Alanine aminotransferase, Alkaline phosphatase, Amoxicillin plus clavulanic acid, Aspartate aminotransferase, Baclofen, Ceftriaxone, Diazepam, Metoclopramide, Metronidazole, Moxifloxacin, Piperacillin plus tazobactam, Promethazine, Sultamicillin, Abdominal discomfort, Acute cholecystitis, Alanine aminotransferase blood level, Antimicrobial therapy, Article, Aspartate aminotransferase blood level, Bacterium culture, Case study, Cholecystectomy, Clinical feature, Disease duration, Endoscopic retrograde cholangiopancreatography, Escherichia coli, Gangrenous cholecystitis, Hiccup, Hospital discharge, Human, Hyperlipidemia, Hypertension, Irritable colon, Klebsiella pneumoniae, Laboratory test, Leukocyte count, Neutrophil count, Nonhuman, Physical examination, Priority journal, Reference value, Tertiary health care, Case report, Echography, Laparoscopic cholecystectomy, Pathology, X-ray computed tomography