A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes

An impairment of gallbladder motility due to autonomic neuropathy may cause cholestasis and result in gallbladder stone formation. Diabetes is one of risk factors for acute cholecystitis. Diabetes and steroid use are associated with the susceptibility to bacterial infections, we are apt to diagnose...

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Detalles Bibliográficos
Autores principales: Masui, Yoshinori, Sako, Akahito, Tsuda, Naonori, Nishimura, So, Seyama, Yasuji, Nishida, Masato, Shindo, Junichi, Sakamoto, Takaaki, Kaneko, Hiroshi, Yanai, Hidekatsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279480/
https://www.ncbi.nlm.nih.gov/pubmed/22393347
http://dx.doi.org/10.4021/jocmr752w
Descripción
Sumario:An impairment of gallbladder motility due to autonomic neuropathy may cause cholestasis and result in gallbladder stone formation. Diabetes is one of risk factors for acute cholecystitis. Diabetes and steroid use are associated with the susceptibility to bacterial infections, we are apt to diagnose steroid-induced diabetic patients manifesting symptoms of cholecystitis as having acute bacterial infective cholecystitis. Here, we report a very rare steroid-induced diabetic patient complicated with gallbladder torsion-induced necrotizing cholecystitis due to a floating gallbladder. KEYWORDS: Cholecystitis; Diabetes; Floating gallbladder; Torsion

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