Acute Acalculous Cholecystitis with Empyema due to Salmonellosis

Empyema of acalculous gallbladder in the setting of salmonellosis represents an extremely rare and life-threatening clinical condition in adults. In this unique case report, we deal with a previously healthy patient who developed acalculous cholecystitis and empyema due to infection by Salmonella. H...

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Main Authors: Georgios D. Lianos, Panagiota Drosou, Rizos Souvatzoglou, Anastasia Karampa, Georgios Vangelis, Emmanouil Angelakis, Vassilios Pappas, Epameinontas Lekkas
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2019/5185314
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author Georgios D. Lianos
Panagiota Drosou
Rizos Souvatzoglou
Anastasia Karampa
Georgios Vangelis
Emmanouil Angelakis
Vassilios Pappas
Epameinontas Lekkas
author_facet Georgios D. Lianos
Panagiota Drosou
Rizos Souvatzoglou
Anastasia Karampa
Georgios Vangelis
Emmanouil Angelakis
Vassilios Pappas
Epameinontas Lekkas
author_sort Georgios D. Lianos
collection DOAJ
description Empyema of acalculous gallbladder in the setting of salmonellosis represents an extremely rare and life-threatening clinical condition in adults. In this unique case report, we deal with a previously healthy patient who developed acalculous cholecystitis and empyema due to infection by Salmonella. He underwent explorative laparotomy in emergency setting, and cholecystectomy was performed due to his toxic clinical condition. Empyema of gallbladder was revealed and cultures were collected. A combination of antibiotics (ciprofloxacin and metronidazole) was set, and the patient was discharged 8 days after the surgical operation in good condition. It has to be highlighted that acalculous cholecystitis is a rare entity, mostly at critically ill patients, and treatment options depend on clinical condition, risk factors, and etiology. To our knowledge, this is the first case report dealing with acalculous cholecystitis with empyema due to salmonellosis up to date. Although it is extremely rare, high index of suspicion is needed by the operating surgeon in order to avoid unfavorable outcomes.
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publishDate 2019-01-01
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-386af05f507c4b5daf356910599a34842025-02-03T00:59:58ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/51853145185314Acute Acalculous Cholecystitis with Empyema due to SalmonellosisGeorgios D. Lianos0Panagiota Drosou1Rizos Souvatzoglou2Anastasia Karampa3Georgios Vangelis4Emmanouil Angelakis5Vassilios Pappas6Epameinontas Lekkas7Department of Surgery, General Hospital of Preveza, Preveza, GreeceDepartment of Surgery, General Hospital of Preveza, Preveza, GreeceAnesthesiology Department, General Hospital of Preveza, Preveza, GreeceDepartment of Surgery, General Hospital of Preveza, Preveza, GreeceDepartment of Surgery, General Hospital of Preveza, Preveza, GreeceAnesthesiology Department, General Hospital of Preveza, Preveza, GreeceAnesthesiology Department, General Hospital of Preveza, Preveza, GreeceDepartment of Surgery, General Hospital of Preveza, Preveza, GreeceEmpyema of acalculous gallbladder in the setting of salmonellosis represents an extremely rare and life-threatening clinical condition in adults. In this unique case report, we deal with a previously healthy patient who developed acalculous cholecystitis and empyema due to infection by Salmonella. He underwent explorative laparotomy in emergency setting, and cholecystectomy was performed due to his toxic clinical condition. Empyema of gallbladder was revealed and cultures were collected. A combination of antibiotics (ciprofloxacin and metronidazole) was set, and the patient was discharged 8 days after the surgical operation in good condition. It has to be highlighted that acalculous cholecystitis is a rare entity, mostly at critically ill patients, and treatment options depend on clinical condition, risk factors, and etiology. To our knowledge, this is the first case report dealing with acalculous cholecystitis with empyema due to salmonellosis up to date. Although it is extremely rare, high index of suspicion is needed by the operating surgeon in order to avoid unfavorable outcomes.http://dx.doi.org/10.1155/2019/5185314
spellingShingle Georgios D. Lianos
Panagiota Drosou
Rizos Souvatzoglou
Anastasia Karampa
Georgios Vangelis
Emmanouil Angelakis
Vassilios Pappas
Epameinontas Lekkas
Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
Case Reports in Gastrointestinal Medicine
title Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
title_full Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
title_fullStr Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
title_full_unstemmed Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
title_short Acute Acalculous Cholecystitis with Empyema due to Salmonellosis
title_sort acute acalculous cholecystitis with empyema due to salmonellosis
url http://dx.doi.org/10.1155/2019/5185314
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