AI Article Synopsis
- * Ultrasound showed a swollen gallbladder and fluid in the abdomen but no gallstones or polyps.
- * A CT scan revealed a blockage caused by a dissection in the celiac artery, indicating possible gangrenous cholecystitis, leading to an urgent surgical procedure to remove the gallbladder.
Article Abstract
A 62-year-old male presented with right intercostal muscle pain. Clinical examination revealed muscular defense in the same area. Abdominal ultrasonography revealed a distended gallbladder and ascites effusion, but no gallstones or polyps were present. Contrast-enhanced computerized tomography was performed, which revealed luminal obstruction due to arterial dissection of the celiac artery and intrinsic hepatic artery. This finding suggested gangrenous cholecystitis; thus, urgent cholecystectomy was performed. Only a few cases of celiac artery dissection and only one case of gangrenous cholecystitis without stones have been reported. We report here an extremely rare case of celiac artery dissection.
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| http://dx.doi.org/10.11405/nisshoshi.120.339 | DOI Listing |
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