Acute cholecystitis in patients with stroke

Kuroi, Yasuhiro; Imazato, Daisuke; Yamazaki, Kei; Kasuya, Hidetoshi

doi:10.4103/0028-3886.258055

Cited by 9 publications

(9 citation statements)

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“…One possible explanation for the paucity of studies is that some cases of AAC complicated with AOSD may be asymptomatic. Although the background disease is different, asymptomatic AAC cases have been reported ( 5 , 16 , 17 ). A certain number of cases of AAC associated with autoimmune diseases may be asymptomatic because high-dose glucocorticoid treatment may be initiated before performing imaging studies, such as abdominal ultrasonography and computed tomography.…”

Section: Discussionmentioning

confidence: 99%

A Recurrent Case of Adult-onset Still's Disease with Concurrent Acalculous Cholecystitis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis Successfully Treated with Combination Immunosuppressive Therapy

et al. 2021

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We herein report the case of 21-year-old female diagnosed with adult-onset Still's disease (AOSD) three years earlier who presented with fever and right upper abdominal pain. She was diagnosed with acute acalculous cholecystitis (AAC) based on hepatic dysfunction, elevated C-reactive protein, and gallbladder wall thickening on abdominal ultrasound. Based on the presence of pancytopenia, hyperferritinemia, and hemophagocytosis by a bone marrow examination, she was diagnosed with macrophage activation syndrome (MAS)/hemophagocytic lymphohistiocytosis (HLH) which was refractory to glucocorticoid pulse therapy. The combination of intravenous cyclosporine A with glucocorticoids was able to successfully control the disease activity of AOSD-related AAC and MAS/HLH.

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Section: Discussionmentioning

confidence: 99%

A Recurrent Case of Adult-onset Still's Disease with Concurrent Acalculous Cholecystitis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis Successfully Treated with Combination Immunosuppressive Therapy

et al. 2021

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“…However, our proportion of acute calculous cholecystitis among our patients diagnosed with AC was found as 67.4%, which is lower than the proportion reported in Valerie's review. In this regard, the fact that fasting state and dehydration are cited as the primary triggers of acalculous cholecystitis [5] may account for the higher rate of this disease in Group 1.…”

Section: Discussionmentioning

confidence: 99%

Does the Frequency of Acute Cholecystitis Decrease During the Ramadan Month?

Seyit

Yılmaz

et al. 2021

International Journal of Health Services Research and Policy

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The pathophysiological mechanism of acute cholecystitis (AC), which is essentially the inflammation of the gallbladder, is blockage of the cystic duct, and its most common cause is gallstones. On the other hand, fasting held in Ramadan is worship practiced by Muslims within the period from dawn to sunset by avoiding any eating and drinking act. Within this framework, our study ultimately intends to reveal the variation of AC in two different time periods. We retrospectively compared the demographic characteristics, admittance times, biochemical parameters of the subjects diagnosed with AC and hospitalized in the general surgery between 2012 and 2018. We also evaluated diagnosis classification, length of hospitalization, presence of intensive care stay, presence of operation during hospitalization, and the underlying comorbid diseases of the subjects. 225 patients were hospitalized in the general surgery service after being diagnosed with AC in the ED over the course of six years, yet the total number of subjects recruited for the study is 46. Whereas 10 patients (21.7%) were admitted and hospitalized during the Ramadan month, 36 (78.3%) patients in the other group were hospitalized one month before and after Ramadan. 16 (34.8%) of the hospitalized patients underwent emergency surgery, while 30 (65.2%) patients were operated on electively. The comparison of the two cohorts in our study revealed no significant difference in relation to the demographic characteristics, laboratory findings, imaging methods, underlying comorbid diseases, and the length of hospital stay. Nevertheless, clinical investigations seem to have revealed a difference between groups.

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“…Other Risk Factors Associated factors such as diabetes mellitus, arterial hypertension, atherosclerosis, vasculitis, stroke, and immunodeficiencies (such as systemic lupus erythematosus, macrophage activation syndrome, and acquired immunodeficiency syndrome) may increase the risk of AAC [35][36][37][38][39]. Kullmann et al [6] showed that neural factors may also induce AAC; in other words, any factor that reduces vagal tone may lead to the occurrence of AAC or may be a contributing factor in the onset of cholecystitis.…”

Section: Abnormal Anatomical Structure Of the Biliary Tract Systemmentioning

confidence: 99%

Advances in the Study of Acute Acalculous Cholecystitis: A Comprehensive Review

Fu¹,

Pang²,

Dai³

et al. 2021

Dig Dis

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Background: Acute acalculous cholecystitis (AAC) is characterized by acute necrotizing inflammation with no calculi and is diagnosed based on imaging, intraoperative, and pathological examinations. Key Message: Although AAC has been studied clinically for a long time, it remains difficult to diagnose and treat. The pathogenesis of AAC is still not fully understood, and it is often regarded as a relatively independent clinical disease that is different from acute calculous cholecystitis (ACC). Pathological studies suggest that AAC is the manifestation of a critical systemic disease, while ACC is a local disease of the gallbladder. Summary: Concerning the pathogenesis, diagnosis, and treatment of AAC, we reviewed the research progress of AAC, which will enhance the understanding of the early diagnosis and treatment of AAC.

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Acute cholecystitis in patients with stroke

Cited by 9 publications

References 0 publications

A Recurrent Case of Adult-onset Still's Disease with Concurrent Acalculous Cholecystitis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis Successfully Treated with Combination Immunosuppressive Therapy

A Recurrent Case of Adult-onset Still's Disease with Concurrent Acalculous Cholecystitis and Macrophage Activation Syndrome/Hemophagocytic Lymphohistiocytosis Successfully Treated with Combination Immunosuppressive Therapy

Does the Frequency of Acute Cholecystitis Decrease During the Ramadan Month?

Advances in the Study of Acute Acalculous Cholecystitis: A Comprehensive Review

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