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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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
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author Masui, Yoshinori
Sako, Akahito
Tsuda, Naonori
Nishimura, So
Seyama, Yasuji
Nishida, Masato
Shindo, Junichi
Sakamoto, Takaaki
Kaneko, Hiroshi
Yanai, Hidekatsu
author_facet Masui, Yoshinori
Sako, Akahito
Tsuda, Naonori
Nishimura, So
Seyama, Yasuji
Nishida, Masato
Shindo, Junichi
Sakamoto, Takaaki
Kaneko, Hiroshi
Yanai, Hidekatsu
author_sort Masui, Yoshinori
collection PubMed
description 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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spelling pubmed-32794802012-03-05 A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes Masui, Yoshinori Sako, Akahito Tsuda, Naonori Nishimura, So Seyama, Yasuji Nishida, Masato Shindo, Junichi Sakamoto, Takaaki Kaneko, Hiroshi Yanai, Hidekatsu J Clin Med Res Case Report 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 Elmer Press 2011-12 2011-11-10 /pmc/articles/PMC3279480/ /pubmed/22393347 http://dx.doi.org/10.4021/jocmr752w Text en Copyright 2011, Masui et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Masui, Yoshinori
Sako, Akahito
Tsuda, Naonori
Nishimura, So
Seyama, Yasuji
Nishida, Masato
Shindo, Junichi
Sakamoto, Takaaki
Kaneko, Hiroshi
Yanai, Hidekatsu
A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title_full A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title_fullStr A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title_full_unstemmed A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title_short A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes
title_sort difficult differential diagnosis of acute cholecystitis in a patient with steroid-induced diabetes
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279480/
https://www.ncbi.nlm.nih.gov/pubmed/22393347
http://dx.doi.org/10.4021/jocmr752w
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