Perihepatic abscess formation in diabetes: A complication of silent gallstones

Lael E. Forbes, Mandeep Bajaj, Thomas McGinn, Arnold Berlin

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Perforation of the gallbladder is a serious complication of acute cholecystitis, with significant morbidity and mortality rates. We present the case of a diabetic adult in whom the usual signs and symptoms of acute cholecystitis were obscured. A high index of suspicion at the time of admission prompted emergent evaluation. Computerized axial tomography revealed a large perihepatic abscess extending from a perforated gallbladder. Fourteen hundred milliliters of malodorous brown fluid were drained by ultrasound-guided percutaneous aspiration from the collection. Early clinical suspicion combined with conservative surgical management may prevent serious morbidity and/or mortality in diabetic patients with complicated cholecystitis.

Original languageEnglish (US)
Pages (from-to)786-788
Number of pages3
JournalAmerican Journal of Gastroenterology
Volume91
Issue number4
StatePublished - Apr 1 1996

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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