Emphysematous cholecystitis following routine colonoscopy

Author:

Campbell Cassidy1ORCID,Cooper Edward A1,Kennedy Philip1

Affiliation:

1. Department of Surgery, Tamworth Rural and Referral Hospital, Tamworth, New South Wales, Australia

Abstract

Abstract Cholecystitis is a rare sequela of colonoscopy, the relationship between which has not yet been defined. This case study reviews a rural elderly patient who developed right upper quadrant pain following routine colonoscopy. He developed emphysematous cholecystitis, which required laparoscopy with conversion to open via Kocher’s incision and underwent a subtotal cholecystectomy due to the severity of necrosis and inflammation. He had an uncomplicated recovery. Colonoscopy is an important diagnostic procedure, the most common complications of which are haemorrhage and perforation. There are less than 10 cases of associated cholecystitis and no reports of emphysematous cholecystitis. The hypothesized pathogenesis is dehydration and lithogenesis associated with traumatic translocation of organisms, however, no definitive correlation has been determined. Due to the potential health impact, cholecystitis cannot be excluded regarding post-colonoscopy abdominal pain, however, the correlation between procedure and pathology remains unclear.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference5 articles.

1. Post-colonoscopy complications: a systematic review, time trends, and meta-analysis of population-based studies;Reumkens;Am J Gastroenterol,2016

2. Abdominal pain after colonoscopy: can it be acute cholecystitis;Aziz;Dig Dis Sci,2006

3. Acute cholecystitis as a complication after colonoscopy: a case report and literature review;Gorgan;Eur J Case Rep Inter Med,2016

4. Emphysematous cholecystitis;Wu;Am J Surg,2010

5. Colonoscopy cholecystitis;Milman;Am J Gastroenterol,2001

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