Perihepatic abscess formation in diabetes: A complication of silent gallstones

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 1996

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Acute Cholecystitis
Gallstones
Diabetes Complications
Gallbladder
Abscess
Morbidity
Cholecystitis
Mortality
Signs and Symptoms
Tomography
Conservative Treatment

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Perihepatic abscess formation in diabetes : A complication of silent gallstones. / Forbes, Lael E.; Bajaj, Mandeep; McGinn, Thomas; Berlin, Arnold William.

In: American Journal of Gastroenterology, Vol. 91, No. 4, 04.1996, p. 786-788.

Research output: Contribution to journalArticle

Forbes, Lael E. ; Bajaj, Mandeep ; McGinn, Thomas ; Berlin, Arnold William. / Perihepatic abscess formation in diabetes : A complication of silent gallstones. In: American Journal of Gastroenterology. 1996 ; Vol. 91, No. 4. pp. 786-788.
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