Conservative management of acute calculous cholecystitis complicated by pancreatitis in an elderly woman

Abstract

Rationale:Acute calculous cholecystitis is a prevalent disease whose diagnosis and management still face significant debate. Although the overall incidence of gallstone disease is 18.8% in European women aged 30 to 69 years, there is little data and experience in managing acute calculous cholecystitis in populations over 80 years old. The incidence of acute cholecystitis among the elderly is probably increasing. For the reason, we here highlight the advantages and disadvantage of various treatment and management opens based on a 96-year-old patient.Patient concerns:We present a rare case in which a 96-year-old woman suffered from abdominal pain, nausea, and lack of appetite for over a month.Diagnoses:She was diagnosed with acute calculous cholecystitis and pancreatitis.Interventions:She was successfully treated without surgery, regaining her physical health after 5 months.Outcomes:The question of how to manage acute calculous cholecystitis is extremely difficult in many aspects. The patient of very advanced age presented in this paper, not very well diagnosed and with a life-threating condition, survived because of careful treatment and reasonable decision-making.Lessons:The take-away from this case is that, in a high-risk senile patient, strict conservative therapy of cholecystitis may be successful, as it can avoid the complications of surgery and leave the patient with a good quality of life.

Rare Metabolic and Endocrine Diseases with Cardiovascular Involvement: Insights from Cardiovascular Magnetic Resonance – A Review

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Liubao Insect tea polyphenols prevent HCl/ethanol induced gastric damage through its antioxidant ability in mice

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Melatonin inhibits the endoplasmic reticulum stress‑induced, C/EBP homologous protein‑mediated pathway in acute pancreatitis

“…acute pancreatitis (SaP) is a prevalent and serious disease caused by activation of digestive proteases in the pancreas, which may result in pancreatic tissue autodigestion, tissue edema, hemorrhage or acinar necrosis, although most are mild patients (mild acute pancreatitis, MaP), ~25% of patients worldwide are severe (severe acute pancreatitis, SaP), which is clinically dangerous and often complicated by systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (ModS) (1). although gallstones are known to be the main cause of acute pancreatitis, its diagnosis and management remain challenging, and the pathogenesis of this disease is not fully understood despite the proposal of several explanatory theories (2).…”