Acute acalculous cholecystitis caused by SARS-CoV-2 infection: A case report and literature review

Hana Futagami, Hiroki Sato, Ryuichi Yoshida, Kazuya Yasui, Takahito Yagi, Toshiyoshi Fujiwara

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Emerging data indicate that gastrointestinal disorders, in addition to pulmonary dysfunction, are also hallmarks of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Case presentation: A 42-year-old man with maintenance hemodialysis developed high fever and dyspnea. He was positive for SARS-CoV-2 and was diagnosed with pneumonia. After treatment for SARS-CoV-2, his respiratory condition improved. However, he developed right upper quadrant pain with elevated inflammatory markers (white blood cells, 21,160/μL; c-reactive protein, 163.9 mg/L) on the 13th day. Abdominal computed tomography revealed acute acalculous cholecystitis. Percutaneous transhepatic gallbladder drainage (PTGBD) was performed together with antibiotic therapy, which resulted in improvement of symptoms. Laparoscopic cholecystectomy was performed 36 days after PTGBD. Conclusion: We report a rare case of acute acalculous cholecystitis (AAC) following pneumonia caused by SARS-CoV-2 infection. We also conducted a literature search to characterize SARS-CoV-2-related cholecystitis. Infection with SARS-CoV-2 is an important trigger for AAC, and appropriate therapeutic alternatives should be cautiously selected according to individual cases.

Original languageEnglish
Article number106731
JournalInternational Journal of Surgery Case Reports
Volume90
DOIs
Publication statusPublished - Jan 2022
Externally publishedYes

Keywords

  • Acute acalculous cholecystitis
  • COVID-19
  • SARS-CoV-2

ASJC Scopus subject areas

  • Surgery

Fingerprint

Dive into the research topics of 'Acute acalculous cholecystitis caused by SARS-CoV-2 infection: A case report and literature review'. Together they form a unique fingerprint.

Cite this