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Inicio Cirugía Española (English Edition) Cholecystitis enfisematous suspected SARS-CoV-2 infection
Journal Information
Vol. 99. Issue 7.
Pages 538 (August - September 2021)
Vol. 99. Issue 7.
Pages 538 (August - September 2021)
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Cholecystitis enfisematous suspected SARS-CoV-2 infection
Colecistitis enfisematosa en sospecha de infección por SARS-CoV-2
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Ana Bernabeu García
Corresponding author
ana_bg_22@hotmail.com

Corresponding author.
, Joan De la Cruz Verdun, Xavier Suñol Sala
Hospital de Mataró, Servicio Cirugía General y Digestiva, Unidad hepatobiliopancreática, Barcelona, Spain
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The patient is an 82-year-old woman with cirrhosis of the liver due to hepatitis C, portal hypertension, heart failure and chronic kidney disease, who reported functional impairment, vomiting and pain in the right upper quadrant over the previous three days. Lab work-up showed neutrophilia, metabolic acidosis and CRP 13.09.

Contrast-enhanced abdominal CT showed bilateral, peripheral and basal pulmonary ground glass opacities suggestive of SARS-CoV-2, although the PCR was negative. The gallbladder was distended, with air-filled walls and biliary sludge, and perihepatic and pelvic fluid were observed (Fig. 1).

Fig. 1
(0.19MB).

Surgery was ruled out (Fig. 2) due to high risk of morbidity and mortality. Conservative treatment with antibiotics was agreed upon, and the patient died 24 h after admission.

Fig. 2
(0.19MB).

Diagnosis: emphysematous cholecystitis

Please cite this article as: Bernabeu García A, De la Cruz Verdun J, Suñol Sala X. Colecistitis enfisematosa en sospecha de infección por SARS-CoV-2. Cir Esp. 2021;99:538.

Copyright © 2020. AEC
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