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Case Reports
. 2018 Dec 6;6(15):1007-1011.
doi: 10.12998/wjcc.v6.i15.1007.

Gangrenous cholecystitis: A silent but potential fatal disease in patients with diabetic neuropathy. A case report

Affiliations
Case Reports

Gangrenous cholecystitis: A silent but potential fatal disease in patients with diabetic neuropathy. A case report

Melorin Mehrzad et al. World J Clin Cases. .

Abstract

Gangrenous cholecystitis (GC) is a severe and potentially deadly complication of acute cholecystitis. We present a 83-year-old gentleman with a past medical history of type 2 diabetes mellitus with significant associated neuropathy, presenting to a community hospital in a major metropolitan area with 10 days nausea and vomiting and a benign abdominal exam. While the patient was admitted for hyperglycemia, he was subsequently found to have severe GC requiring urgent surgical intervention.

Keywords: Case report; Complications; Diabetes mellitus; Gangrenous cholecystitis; Hyperglycemia.

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Conflict of interest statement

Conflict-of-interest statement: Nothing to disclose.

Figures

Figure 1
Figure 1
Ultrasound image demonstrating a pronounced gallbladder wall thickening and stones, consistent with acute colecystitis.
Figure 2
Figure 2
HIDA scan image demonstrates non-visualization of the gallbladder one hour after radiotracer injection, consistent with cystic duct obstruction.

References

    1. Kumar V, Abbas AK, Aster JC. Robbins and Cotran Pathologic Basis of Disease. 7th ed. Philadelphia, Pa: Saunders; 2005. pp. 1194–1195.
    1. Smyth S, Heron A. Diabetes and obesity: the twin epidemics. Nat Med. 2006;12:75–80. - PubMed
    1. Powers AC. Harrison’s Principles of Internal medicine. In: Braunwald BE, Fauci AS, Kasper DL, Hauser SL (eds), editors. 18th ed. Chapter 344-Classification. New York: McGraw Hill; 2012.
    1. Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, Atlanta, GA, 2011. Available from: http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf.
    1. Bingener J, Stefanidis D, Richards ML, Schwesinger WH, Sirinek KR. Early conversion for gangrenous cholecystitis: impact on outcome. Surg Endosc. 2005;19:1139–1141. - PubMed

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