Publication: Eosinophilic Cholecystitis presenting with Common Bile Duct Sludge and Cholangitis: A Case Report
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 188 - 191
Publisher
Nepal Medical Association
Abstract
Abstract
Eosinophilic cholecystitis is a rare post-cholecystectomy inflammatory histopathological condition characterized by more than 90% eosinophilic infiltrate in the gallbladder. We present a case of 27-year female presented with abdominal pain, fever, jaundice, altered mental status, shock, leucocytosis, deranged liver function test, and peripheral blood eosinophilia. The patient underwent cholecystectomy and common bile duct exploration. She developed adult respiratory distress syndrome and hospital-acquired pneumonia. From this, we want to emphasize that eosinophilic cholecystitis and cholangiopathy should be a differential diagnosis in patients presenting with allergy, peripheral eosinophilia, obstructive jaundice that are planned to undergo cholecystectomy that will have early critical care intervention.
Keywords: cholecystitis; eosinophilia; jaundice; obstructive.
Description
Niraj Kumar Keyal
Department of Critical Care Medicine, B & C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal. https://orcid.org/0000-0001-8587-1718
Pooja Adhikari
Department of Anaesthesiology & Critical Care, B &C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal
Basu Dev Baskota
Department of Surgery, B & C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal
Ujwal Rai
Department of Pathology, B &C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal
Aalok Thakur
Department of Critical Care Medicine, B & C Medical College Teaching Hospital & Research Center, Birtamode, Jhapa, Nepal
Keywords
cholecystitis, eosinophilia, jaundice, obstructive
Identifier
https://doi.org/10.31729/jnma.4684