Saissy J M, Taobane H, Mabrouk H, Atmani M, Drissi-Kamili N, Benameur M, Abounidane A, Borki K
Ann Fr Anesth Reanim. 1985;4(3):310-2. doi: 10.1016/s0750-7658(85)80146-5.
A case is reported of acute acalculous cholecystitis in a patient who suffered a digestive burn treated by total parenteral nutrition. Pain in the right upper abdominal quadrant and fever occurred 26 days after the start of parenteral nutrition and 24 h after abruptly resuming oral feeding. Ultrasonography showed a distended gall-bladder with a thickened wall and the formation of sludge. Cholecystectomy was followed by a complete recovery. The part played by each of the corrosive burn, the total parenteral nutrition and the abrupt resumption of oral feeding in the pathogenesis of this complication is reviewed.