Year: 2024 | Month: January | Volume: 14 | Issue: 1 | Pages: 238-241
DOI: https://doi.org/10.52403/ijhsr.20240130
Aberrant Acute Calculous Cholecystitis with 740 Gallstones: A Rare Case Report
Dr. Lokireddy Srinivasa Reddy1, Dr. Sreerama Raja2
1,2Department of General Surgery, Dr. Anji Reddy Multispeciality Hospital, Piduguralla, Andhra Pradesh, India.
Corresponding Author: Dr. Lokireddy Srinivasa Reddy
ABSTRACT
Gallstone disease remains the cause of morbidity and mortality since ancient times. In India, it is considered to be approximately 4%, whereas it is 10% in the Western countries. Cholesterol super saturation lies at the heart of gallstone formation. 0ur case report is about 62 years old female patient presented with high grade intermittent fever, right upper quadrant abdominal pain radiating to the back, nausea and vomiting of two days duration. She was acutely sick looking with a blood pressure of 100/70 mmHg, pulse-rate of 120, respiratory rate of 24 breaths per minute and temperature measuring 40.6°C. We did interval laparoscopic cholecystectomy and find out thickened fibrous gall bladder wall with 740 stones of size ranging from 0.5 cm to 1.8cm inside it. Gallstone disease is one of the most prevalent gastrointestinal disorders since ancient times and management of its complications incurs significant economic burden. Age and female sex considered strong risk factors compared to other risk factors. Solitary stone and younger age were the most prominent predictors of severe inflammation. Surgery is the mainstay of management for symptomatic gallstone diseases and in selected conditions of asymptomatic cases
Key words: Multiple gallstones; Acute cholecystitis; laparoscopic Cholecystectomy; Gallbladder carcinoma