Study Of Acute Acalculous Cholecystitis In Enteric Fever
Journal Title: VIMS Health Science Journal - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Acute acalculous cholecystitis is a complication of enteric fever with abdominal symptoms. Acute acalculous cholecystitis is 5-10% of all cases of acute cholecystitis. Although acute cholecystitis is rare in adults, we found 10% incidence of acute acalculous cholecystitis in pediatric age group. Material and Methods: We conducted study of acute acalculous cholecystitis as a competition in enteric fever cases. we studied 20 cases (male-13,female-7) out of 200 enteric fever cases during July 2015 to June 2018. Results: 200 cases of Enteric fever were included in study. Out of the 200 cases, 20 patients had acalculous cholecystitis on ultrasonography as an 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 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 good prognosis.
Authors and Affiliations
Dr. Sachin Shah, Dr. Sharad Ghatage, Dr. D P Karmarkar, Dr. Pradeep Ambi
Keywords
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