A 48-year-old male patient with HIV and HCV described abdominal pain in the right hemiabdomen for the previous 72h and a fever of 38.5°C. Examination: hepatomegaly, pain and abdominal guarding in the right hypochondrium and flank. Work-up: leukocytes 17200 (90% neutrophils); Quick 55%; total bilirubin 7.68mg/dL; GPT 114UI/L and PCR 14.4mg/dL. Ultrasound: hyperechogenic mass measuring 8×4.7cm in liver segment 7 (Fig. 1). CT: in the lateral retrohepatic region, image measuring 18cm×80cm×110cm with water density and bubbles in its interior, suggestive of a gall bladder in an ectopic location with signs of acute emphysematous cholecystitis (Fig. 2). Treatment with antibiotics was initiated and percutaneous cholecystostomy was performed.
Please cite this article as: de Andrés Gómez A, Gómez Contreras R. Colecistitis retrohepática en paciente con virus de la inmunodeficiencia humana. Cir Esp. 2016;94:538.