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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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
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author 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
author_facet 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
author_sort Araki, Hiromichi
collection PubMed
description 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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spelling pubmed-55194662017-07-27 Acute Acalculous Cholecystitis Caused by Giardia lamblia 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 Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-07-01 /pmc/articles/PMC5519466/ /pubmed/28674353 http://dx.doi.org/10.2169/internalmedicine.56.8087 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
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
Acute Acalculous Cholecystitis Caused by Giardia lamblia
title Acute Acalculous Cholecystitis Caused by Giardia lamblia
title_full Acute Acalculous Cholecystitis Caused by Giardia lamblia
title_fullStr Acute Acalculous Cholecystitis Caused by Giardia lamblia
title_full_unstemmed Acute Acalculous Cholecystitis Caused by Giardia lamblia
title_short Acute Acalculous Cholecystitis Caused by Giardia lamblia
title_sort acute acalculous cholecystitis caused by giardia lamblia
topic Case Report
url 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
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