Case Report
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World J Gastroenterol. Jun 7, 2010; 16(21): 2702-2704
Published online Jun 7, 2010. doi: 10.3748/wjg.v16.i21.2702
Acute cholecystitis immediately after radical gastrectomy: A report of three cases
Xiao-Sun Liu, Qing Zhang, Jie Zhong, Kan-Kai Zhu, Yun-Chuan Mu, Ji-Ren Yu
Xiao-Sun Liu, Qing Zhang, Jie Zhong, Kan-Kai Zhu, Yun-Chuan Mu, Ji-Ren Yu, Department of Gastroenterological Surgery, First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: Liu XS wrote the paper; Zhang Q, Zhong J, Zhu KK and Mu YC designed the research and revised the paper; Yu JR managed the patient and supervised the research.
Correspondence to: Dr. Ji-Ren Yu, MD, Department of Gastroenterological Surgery, First Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310003, Zhejiang Province, China. yujiren0909@hotmail.com
Telephone: +86-571-87236147 Fax: +86-571-87072577
Received: February 10, 2010
Revised: March 3, 2010
Accepted: March 10, 2010
Published online: June 7, 2010
Abstract

Acute cholecystitis is not a common complication of gastrectomy. Its clinical presentations and management strategies in old patients have not been well described in available literature. This report describes the clinical features, management strategies, and treatment outcome of acute cholecystitis immediately after gastrectomy. Acute cholecystitis immediately after gastrectomy in old patients has different clinical presentations, such as fever and high plasma C-reaction protein level. Abdominal computed tomography (CT) scan and ultrasonography showed acute cholecystitis in our cases, which was treated with antibiotics and ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD). The results indicate that abdominal CT scan and ultrasonography can effectively diagnose acute cholecystitis after gastrectomy, which can be effectively treated with antibiotics and PTGD.

Keywords: Cholecystitis, Ultrasonography, Postoperative complication, Gastrectomy