ArticleAnnals of medicine and surgery (2012)2020
Acute acalculous cholecystitis on a COVID-19 patient: a case report.
Article in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- A Systematic Review of Abdominal Imaging Findings in COVID-19 Patients.Visceral medicine · 2021Pooled it
- Gangrenous cholecystitis in a non-elderly man taking opioids.Journal of rural medicine : JRM · 2026Article
- Acute Acalculous Cholecystitis in a Child with COVID-19 and Influenza B: A Case Report.The American journal of case reports · 2025Article
- Acalculous Cholecystitis as an Atypical Presentation of Viral Pericarditis: A Case Report.The American journal of case reports · 2025Article
- Review
- Gastrointestinal Imaging Findings in the Era of COVID-19: A Pictorial Review.Medicina (Kaunas, Lithuania) · 2023Review
- Acute acalculous cholecystitis as a rare gastroenterological association of COVID-19: a case series and systematic review.Journal of clinical and translational research · 2023Review
- A Surgical Perspective of Gastrointestinal Manifestations and Complications of COVID-19 Infection.Gastroenterology clinics of North America · 2023Review
- Liver involvement in patients with COVID-19 infection: A comprehensive overview of diagnostic imaging features.World journal of gastroenterology · 2023Review
- The incidence of acute acalculous cholecystitis in critically ill COVID-19 patients.Acute and critical care · 2022Article
- Acute acalculous cholecystitis as an early manifestation of COVID-19: case report and literature review.Acta bio-medica : Atenei Parmensis · 2022Review
- Multiorgan Involvement in SARS-CoV-2 Infection: The Role of the Radiologist from Head to Toe.Diagnostics (Basel, Switzerland) · 2022Review
- Laparoscopic cholecystectomy for acalculous, gangrenous cholecystitis on an outpatient COVID-19 adult: a case report.Journal of surgical case reports · 2022Article
- Cholecystitis as a Possible Immunologic Consequence of COVID-19; Case Series from a Large Healthcare System.The American journal of the medical sciences · 2022Article
- Outcome of percutaneous drainage for septic complications coexisted with COVID-19.World journal of radiology · 2022Article
- Review
- 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 acalculous cholecystitis following COVID-19 vaccination: a case report.The Pan African medical journal · 2022Article
- Acute acalculous cholecystitis caused by SARS-CoV-2 infection: A case report and literature review.International journal of surgery case reports · 2022Article
- Risk factors for necrotic cholecystitis during the COVID-19 pandemic: the ChoCO-WSES prospective collaborative study's experience.Turkish journal of surgery · 2021Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe report an extremely rare case of acute acalculous cholecystitis on a COVID-19 patient. In our knowledge, this is the first report of laparoscopic cholecystectomy performed on a COVID-19 patient. PRESENTATION OF CASE: A COVID-19 patient was diagnosed with acute acalculous cholecystitis and a multidisciplinary team decided to perform a percutaneous transhepatic biliary drainage (PTBD) as the first treatment. SARS-CoV-2 RNA was not found in the bile fluid. Because of deterioration of the patient's clinical conditions, laparoscopic cholecystectomy had to be performed and since the gallbladder was gangrenous, the severe inflammation made surgery difficult to perform. DISCUSSION: Acalculous cholecystitis was related with mechanical ventilation and prolonged total parenteral nutrition, in this case the gangrenous histopathology pattern and the gallbladder wall ischemia was probably caused by vascular insufficiency secondary to severe acute respiratory distress syndrome of COVID-19 pneumonia. The percutaneous transhepatic gallbladder drainage (PTBD) was performed according to Tokyo Guidelines because of high surgical risk. Laparoscopic cholecystectomy was next performed due to no clinical improvement. The absence of viral RNA in the bile highlights that SARS-CoV-2 is not eliminated with the bile while it probably infects small intestinal enterocytes which is responsible of gastrointestinal symptoms such as anorexia, nausea, vomiting, and diarrhoea.
conclusionsAlthough the lack of evidence and guidelines about the management of patient with acute cholecystitis during COVID-19 pandemic, laparoscopic cholecystectomy, at most preceded by PTGBD on high surgical risk patients, remains the gold standard for the treatment of acute cholecystitis on COVID-19 patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.