Acute Acalculous Cholecystitis in a Spinal Cord Injured Patient: A case report.

, Lee, Jung Woo; , Lew, Il Sun; , Sung, In Young

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2004;28(5):505-507.

Lee, Jung Woo , Lew, Il Sun , Sung, In Young

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea. iysung@amc.seoul.kr

척수 손상 환자에서 발생한 급성 비결석성 담낭염⁣증례 보고⁣

이정우, 류일선, 성인영

울산대학교 의과대학 서울아산병원 재활의학과

Abstract

Patients with spinal cord injury (SCI) have an increased prevalence of cholecystitis. Neurologically intact patients with cholecystitis usually complain biliary colic of the right upper quadrant (RUQ). Because of the inability to localize visceral pain in patients with SCI, the pattern of symptoms are quite different. We reported a case of 48-year-old man with C5 incomplete tetraplegia (ASIA C) who presented an increased spasticity and vague pain of RUQ and later diagnosed as an acute acalculous cholecystitis. Antibioticstreatment and Percutaneous Transhepatic Gall Bladder Drainage (PTGBD) were performed. An open cholecystectomy was performed after the laparoscopic cholecystectomy which failed due to severe adhesion. Postoperatively, patient recovered well without complications. We suggested that even a vague abdominal pain shouldn't be underestimated in SCI patients. (J Korean Acad Rehab Med 2004; 28: 505-507)

Key Words: Acute acalculous cholecystitis, Spinal cord injury, Gall bladder stone