Gangrenous Nonlithiasic Cholecystitis an Extraordinary Encounter

Abstract

The gangrenous cholecystitis represents a rare and an important com-plication  of  the  acute  cholecystitis.  The  gallbladder  distension  will generate  increased  pressure  and  tension  on  the  gallbladder  wall.  The local inflammatory process may evolve with ischemic phenomenaand the  necrosis  of  the  gallbladder.  We  report  the  case  of  a  65-year-old patient  with  a  known  personal  history  of  ischemic  cardiac  pathology accompanied  by  diabetes  mellitus  that  was admitted  to  the  hospital for severe abdominal pain associated with nausea and vomiting of one week’s duration. The clinic diagnostic was acalculous acute chole-cystitis.  After  the  hemodynamic  parameters  were  stabilized  and  the generalstateofthepatientimproved,wedecidedthatwecouldproceed with  the  surgical  management  of  the  pathology.  During  laparoscopy we  identified  a  gangrenous  gallbladder  that  was  surgically  removed through a Kocher incision. The postoperatory evolution of the patient was  uneventful.  As  a  serious  complication  of  acute  cholecystitis,  the gangrenous cholecystitis must be taken intoconsideration