Perihepatic abscess formation in diabetes: a complication of silent gallstones |
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Authors: | LE Forbes M Bajaj T McGinn A Berlin |
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Affiliation: | Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA. |
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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. |
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