Auda Ahmed, Al Abdullah Rashid, Khalid Mohammed O, Alrasheed Wedyan Y, Alsulaiman Sumaiyah A, Almulhem Fai T, Almaideni Meriam F, Alhikan Aisha
General and Laparoscopic Surgery, Prince Saud Bin Jalawi Hospital, Al Ahsa, SAU.
Infectious Disease, Prince Saud Bin Jalawi Hospital, Al Ahsa, SAU.
Cureus. 2022 Jan 6;14(1):e20981. doi: 10.7759/cureus.20981. eCollection 2022 Jan.
Gangrenous cholecystitis (GC), a severe complication of acute cholecystitis, is associated with higher morbidity and mortality rates than uncomplicated cholecystitis. In this report, we present the case of an 81-year-old female with diabetes mellitus and hypertension who presented in the emergency department complaining of severe generalized abdominal pain for 10 days. The pain was associated with nausea and vomiting. She had septic shock, prompting admission, and was eventually diagnosed with perforated GC. Interventional radiology was conducted, and a cholecystostomy tube was placed under radiology guidance with continuous daily irrigation and intravenous antibiotic coverage for four weeks. Subsequently, the patient's condition improved, and she was finally discharged.
坏疽性胆囊炎（GC）是急性胆囊炎的一种严重并发症，与非复杂性胆囊炎相比，其发病率和死亡率更高。在本报告中，我们介绍了一名81岁患有糖尿病和高血压的女性病例，她因严重的全腹痛10天而到急诊科就诊。疼痛伴有恶心和呕吐。她出现感染性休克，因此入院，最终被诊断为GC穿孔。进行了介入放射学检查，并在放射学引导下放置了胆囊造瘘管，每天持续冲洗，并静脉使用抗生素治疗四周。随后，患者病情好转，最终出院。
