Study Of Acute Acalculous Cholecystitis In Enteric Fever


Introduction: Acute acalculous cholecystitis is a complication of enteric fever with abdominal symptoms. Acute acalculous cholecystitis is seen in 5-10% of all cases of acute cholecystitis. Although acute cholecystitis is rare in adults, we found a 10% incidence of acute acalculous cholecystitis in the pediatric age group. Material and Methods : We conducted a study of acute acalculous cholecystitis as a complication in enteric fever cases. We studied 20 cases (male-13,female-7) out of 200 enteric fever cases from July 2015 to June 2018. Results : 200 cases of Enteric fever were included in the study. Out of the 200 cases, 20 patients had acalculous cholecystitis on ultrasonography as a complication of enteric fever. Discussion : Acute acalculous cholecystitis is an acute inflammation of the gall bladder without stones. It was once considered a rare complication of enteric fever and was rarely diagnosed preoperatively before the advent of ultrasound. Recent studies using ultrasound have shown that the complication is not so a rare. Conclusion: Acute acalculous cholecystitis is not rare complication of enteric fever in pediatric age group, although it is rare in adults. A long course of wide spectrum antibiotics with close clinical monitoring gives a good prognosis.

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Authors: Dr. Sachin Shah, Dr. Sharad Ghatage, Dr. D. P. Karmarkar, Dr. Pradeep Ambi
VIMS Health Sci Journal: 2018; 5 (4):167-169 | pdf PDF Full Article