Acute Acalculous Cholecystitis Caused by Giardia lamblia

We report a case of a 70-year-old man with acute acalculous cholecystitis caused by Giardia lamblia. Contrast-enhanced computed tomography (CT) showed distention of the gallbladder due to a pericholecystic abscess without gallstones. Magnetic resonance cholangiopancreatography and drip infusion chol...

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Detalles Bibliográficos
Autores principales: Araki, Hiromichi, Shimizu, Shuya, Hayashi, Katsumi, Yamada, Tomonori, Kusakabe, Atsunori, Kanie, Hiroshi, Mizuno, Yusuke, Kojima, Issei, Saitou, Akitoshi, Nagao, Kazuhiro, Suzuki, Yuka, Toyohara, Tadashi, Suzuki, Takanori, Uchida, Erika, Uno, Konomu, Nakazawa, Takahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519466/
https://www.ncbi.nlm.nih.gov/pubmed/28674353
http://dx.doi.org/10.2169/internalmedicine.56.8087
Descripción
Sumario:We report a case of a 70-year-old man with acute acalculous cholecystitis caused by Giardia lamblia. Contrast-enhanced computed tomography (CT) showed distention of the gallbladder due to a pericholecystic abscess without gallstones. Magnetic resonance cholangiopancreatography and drip infusion cholecystocholangiography-CT demonstrated a stricture of the hilar bile duct and cystic duct obstruction. We conducted transpapillary bile duct brush cytology and a biopsy of the hilar bile duct stricture; numerous active trophozoites of Giardia lamblia were observed without malignant findings. We considered this bile duct lesion to be biliary giardiasis. Biliary giardiasis should be taken into consideration when diagnosing acute acalculous cholecystitis.

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