Leukocytosis of Unknown Origin: Gangrenous Cholecystitis
There have been case reports where patients admitted with acute cholecystitis, who were managed conservatively, had subsequently developed GC (gangrenous cholecystitis). The current case is unique, since our patient denied any prior episodes of abdominal pain and the only tip off was leukocytosis. A...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/418014 |
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| author | Amara Jyothi Nidimusili M. Chadi Alraies Naseem Eisa Abdul Hamid Alraiyes Khaldoon Shaheen |
| author_facet | Amara Jyothi Nidimusili M. Chadi Alraies Naseem Eisa Abdul Hamid Alraiyes Khaldoon Shaheen |
| author_sort | Amara Jyothi Nidimusili |
| collection | DOAJ |
| description | There have been case reports where patients admitted with acute cholecystitis, who were managed conservatively, had subsequently developed GC (gangrenous cholecystitis). The current case is unique, since our patient denied any prior episodes of abdominal pain and the only tip off was leukocytosis. A high index of suspicion is essential for the early diagnosis and treatment of GC. GC has a mortality rate of up to 22% and a complication rate of 16–25%. Complications associated with GC include perforation, which has been reported to occur in as many as 10% of cases of acute cholecystitis. The radiological investigations may not be conclusive. Ultrasonography usually serves as the first-line imaging modality for the evaluation of patients with clinically suspected acute cholecystitis. However, CT can play an important role in the evaluation of these patients if sonography is inconclusive. There is a need for an early (if not urgent) surgical intervention in acute cholecystitis (whether laparoscopic or open surgery) in order to decrease the time elapsed from the start of symptoms to admission and treatment. |
| format | Article |
| id | doaj-art-e1481163c22b467385729bf7a696afc6 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e1481163c22b467385729bf7a696afc62025-08-20T02:21:01ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/418014418014Leukocytosis of Unknown Origin: Gangrenous CholecystitisAmara Jyothi Nidimusili0M. Chadi Alraies1Naseem Eisa2Abdul Hamid Alraiyes3Khaldoon Shaheen4Department of Medicine, Trinitas Regional Medical Center, Seton Hall University Health Sciences, Elizabeth, NJ 07202, USADepartment of Hospital Medicine, Institute of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Hospital Medicine, Institute of Medicine, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Pulmonary, Critical Care and Environmental Medicine, Tulane University Health Sciences Center, New Orleans, LA 70112, USADepartment of Hospital Medicine, Institute of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland Clinic, Cleveland, OH 44195, USAThere have been case reports where patients admitted with acute cholecystitis, who were managed conservatively, had subsequently developed GC (gangrenous cholecystitis). The current case is unique, since our patient denied any prior episodes of abdominal pain and the only tip off was leukocytosis. A high index of suspicion is essential for the early diagnosis and treatment of GC. GC has a mortality rate of up to 22% and a complication rate of 16–25%. Complications associated with GC include perforation, which has been reported to occur in as many as 10% of cases of acute cholecystitis. The radiological investigations may not be conclusive. Ultrasonography usually serves as the first-line imaging modality for the evaluation of patients with clinically suspected acute cholecystitis. However, CT can play an important role in the evaluation of these patients if sonography is inconclusive. There is a need for an early (if not urgent) surgical intervention in acute cholecystitis (whether laparoscopic or open surgery) in order to decrease the time elapsed from the start of symptoms to admission and treatment.http://dx.doi.org/10.1155/2013/418014 |
| spellingShingle | Amara Jyothi Nidimusili M. Chadi Alraies Naseem Eisa Abdul Hamid Alraiyes Khaldoon Shaheen Leukocytosis of Unknown Origin: Gangrenous Cholecystitis Case Reports in Medicine |
| title | Leukocytosis of Unknown Origin: Gangrenous Cholecystitis |
| title_full | Leukocytosis of Unknown Origin: Gangrenous Cholecystitis |
| title_fullStr | Leukocytosis of Unknown Origin: Gangrenous Cholecystitis |
| title_full_unstemmed | Leukocytosis of Unknown Origin: Gangrenous Cholecystitis |
| title_short | Leukocytosis of Unknown Origin: Gangrenous Cholecystitis |
| title_sort | leukocytosis of unknown origin gangrenous cholecystitis |
| url | http://dx.doi.org/10.1155/2013/418014 |
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