Acute Cholecystitis in AIDS Patients: Correlation of Tc-99m Hepatobiliary Scintigraphy with Histopathologic Laboratory Findings and CD4 Counts

Abstract

(1) Because of the high incidence of 52% of acalculous cholecystitis in AIDS patients with a CD4 count < 200, we recommend using intravenous cholecystokinin if the gallbladder is visualized on hepatobiliary scintigraphy in order to determine gallbladder ejection fraction and exclude acalculous cholecystitis. (2) Laparoscopic rather than open cholecystectomy should be the surgical procedure of choice in AIDS patients especially if the CD4 count is < 200.

Gallbladder tuberculosis camouflaging as gallbladder cancer – case series and review focussing on treatment

“…The route of spread to gallbladder is either hematogenous or lymphatics [Chen et al 1999;Collier, 1994]. The cystic duct obstruction and gallstone disease are (1) Similar to carcinoma gallbladder as seen in our cases, (2) Persistent port site sinus following laparoscopic cholecystectomy [Mansoor et al 2011], (3) Acute cholecystitis [Cacciarelli et al 1998], (4) Metastatic gallbladder cancer with umbilical nodules [Goyal et al 1998], (5) Perforation and bilioma [Hahn et al 1995], (6) Empyema [Tauro et al 2008], (7) Multicystic mass [Gulati et al 2002].…”

Acute Cytomegalovirus Cholecystitis Following Renal Transplantation

“…CMV cholecystitis is a rare condition that has previously been described in acquired immunodeficiency syndrome (AIDS) (3)(4)(5)(6)(7), but rarely following solid organ transplantation (8)(9)(10)(11)(12) (8)(9)(10)12). There is one previous description of CMV cholecystitis leading to perforation of the gallbladder (11 …”

“…In transplant recipients, the highest risk of CMV disease occurs when the donor is CMV seropositive and the recipient is seronegative (D + R − ) (2). CMV cholecystitis is a rare condition that has previously been described in acquired immunodeficiency syndrome (AIDS) (3)(4)(5)(6)(7), but rarely following solid organ transplantation (8)(9)(10)(11)(12). In this article, we describe two renal transplant patients who developed acute CMV cholecystitis.…”