ArticleInternational journal of surgery case reports2020
Subtotal laparoscopic cholecystectomy for gangrenous gallbladder during recovery from COVID-19 pneumonia.
Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Acute Acalculous Cholecystitis in a Child with COVID-19 and Influenza B: A Case Report.The American journal of case reports · 2025Article
- Review
- Acute acalculous cholecystitis as a rare gastroenterological association of COVID-19: a case series and systematic review.Journal of clinical and translational research · 2023Review
- Delayed laparoscopic cholecystectomy for a patient with coronavirus disease 2019 who developed gangrenous cholecystitis: a case report.Surgical case reports · 2022Article
- Acute acalculous cholecystitis as an early manifestation of COVID-19: case report and literature review.Acta bio-medica : Atenei Parmensis · 2022Review
- Laparoscopic cholecystectomy for acalculous, gangrenous cholecystitis on an outpatient COVID-19 adult: a case report.Journal of surgical case reports · 2022Article
- Surgical treatment of acute cholecystitis in patients with confirmed COVID-19: Ten case reports and review of literature.World journal of clinical cases · 2022Article
- Acute surgical abdomen during the COVID-19 pandemic: Clinical and therapeutic challenges.Experimental and therapeutic medicine · 2021Article
- Acute surgical-like abdomen as a gastrointestinal manifestation of COVID-19 infection: a case report in Colombia.BMC gastroenterology · 2021Article
- COVID-19-related cholecystitis.Clinics and research in hepatology and gastroenterology · 2021Article
- Laparoscopic Surgery in COVID-19 Era-Safety and Ethical Issues.Diagnostics (Basel, Switzerland) · 2020Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionManagement of acute abdomen during COVID-19 pandemic may be challenging. PRESENTATION OF CASE: A 42-year old man was hospitalized for Covid-19 pneumonia. Fever, respiratory symptoms and hypoxemia significantly improved over the next 2 weeks, but the patient developed abdominal pain, nausea, and low-grade fever. Computed tomography scan revealed absence of contrast enhancement of gallbladder wall and a micro-perforation of the fundus. At laparoscopy, gallbladder gangrene was confirmed and a subtotal cholecystectomy performed. Special precautions were adopted for patient transportation from the ward to a dedicated operating room, and two teams with adequate personal protective equipment took charge of the procedure. The patient was discharged home on postoperative day 7 under protective lockdown measures for 2 weeks. DISCUSSION: The pathogenesis of acute acalcolous gangrenous cholecystitis is multifactorial. It is unknown whether a prothrombotic state induced by COVID-19 contributes to wall ischemia and perforation. Percutaneous cholecystostomy should be avoided in patients with gallbladder gangrene. Contraindications to laparoscopy are not evidence-based since aerosolization is produced during both open and laparoscopic surgical procedures. However, personal protective equipment is key for prevention.
conclusionEarly diagnosis and surgical therapy are critical in patients with gangrenous cholecystitis. Subtotal laparoscopic cholecystectomy for gangrenous gallbladder is safe and effective.
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