A Case of Gallbladder Perforation Complicated by Acalculous Cholecystitis due to Non-Typhoidal Salmonella

Abstract

비장티푸스성 살모넬라 감염증에서 국소 병변으로서 비결석성 담낭염은 드물게 발생하며 특히 담낭 천공이 합병되는 경우는 매우 드물다. 저자들은 혈액투석을 시행하는 말기신부전 환자에서 비장티푸스성 살모넬라에 의한 비결석성 담낭염에 합병된 담낭 천공 1예를 경험하였기에 문헌고찰과 함께 보고한다.

Salmonella infections can cause a variety of diseases, but acute acalculous cholecystitis complicated by gallbladder perforation occurs very rarely in adults. Here, we report a case of acute acalculous cholecystitis with gallbladder perforation after non-typhoidal group D Salmonella infection. A 71-year-old man was admitted with fever, chills, and watery diarrhea. Blood cultures taken on admission were positive for non-typhoidal group D Salmonella. The patient subsequently developed acute acalculous cholecystitis, and abdominal ultrasound and computed tomography revealed gallbladder perforation. Because of other medical problems, cholecystectomy could not be performed. The patient’s symptoms and signs were not resolved, even after parenteral antibiotic injection and percutaneous cholecystostomy. Despite meticulous supportive care, the patient died after progression to multiple organ dysfunction.