AI Article Synopsis
- Acute acalculous cholecystitis is a rare but serious condition that can arise after trauma, burns, and in critically ill or post-surgical patients, particularly those undergoing gastrointestinal surgeries.
- A review of literature identified 76 cases of this condition following gastrointestinal operations, including a notable case from Tulane University Medical Center involving a 64-year-old man after a left hemicolectomy.
- The condition has a high incidence of complications, with over half of the patients developing gangrenous forms and a mortality rate of 21.1%, highlighting the need for prompt diagnosis and treatment post-surgery.
Article Abstract
Acute acalculous cholecystitis has been identified as a rare but potentially devastating entity after trauma, and burns, as well as in critically ill patients, and in the postoperative period. Gastrointestinal surgery is most frequently implicated in postoperative acute acalculous cholecystitis, especially after gastric and colorectal procedures. Review of the English literature identified 28 articles reporting 76 cases of acute acalculous cholecystitis after gastrointestinal operations, which included a case from Tulane University Medical Center of a 64-year-old man who developed postoperative acute acalculous cholecystitis after elective left hemicolectomy. A total of 52.4 per cent of the patients developed gangrenous acute acalculous cholecystitis, with a mortality rate of 21.1 per cent, much higher than that reported in postoperative calculous cholecystitis. This emphasizes the need for a high level of suspicion and early detection in the postoperative period to avoid devastating consequences.
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