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KMID : 0882420110810050636
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Korean Journal of Medicine
2011 Volume.81 No. 5 p.636 ~ p.640
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A Case of Gallbladder Perforation Complicated by Acalculous Cholecystitis due to Non-Typhoidal Salmonella
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Yoo Hye-Soo
Jeon Sung-Chan
Lee Hong-Sub
Song Jun-Ha
Jung Min-Wook
Cho Sung-Won
Cheong Jae-Youn
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Abstract
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Salmonella infections can cause a variety of diseases, but acute acalculous cholecystitis complicated by gallbladder perforation occurs very rarely in adults. Here, we report a case of acute acalculous cholecystitis with gallbladder perforation after non-typhoidal group D Salmonella infection. A 71-year-old man was admitted with fever, chills, and watery diarrhea. Blood cultures taken on admission were positive for non-typhoidal group D Salmonella. The patient subsequently developed acute acalculous cholecystitis, and abdominal ultrasound and computed tomography revealed gallbladder perforation. Because of other medical problems, cholecystectomy could not be performed. The patient’s symptoms and signs were not resolved, even after parenteral antibiotic injection and percutaneous cholecystostomy. Despite meticulous supportive care, the patient died after progression to multiple organ dysfunction.
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KEYWORD
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Non-typhoidal salmonellosis, Acalculous cholecystitis, Gallbladder perforation
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