Via practica 6/2015

Difficulties in acute acalculous cholecystitis diagnostics

Acute acalculous cholecystitis (AAC) is a severe disease, mostly seen in critically ill patients. To figure out diagnose of AAC can be very difficult. Symptoms of AAC are very mild and unspecific. This clinical case report consists of two reports. First case report describes atypical case of AAC in otherwise healthy man. The second one reports a case of young woman with left-side pyelonephritis. She suddenly developed atypical right abdominal pain during the 4th day of treatment. Her inflammatory parameters suddenly increased and ultrasound findings of AAC appeared. The suspicionof AAC was very high, but finally the AAC was excluded and she got well on conservative treatment. Presentation of both case reports at the same time shows, how tricky it can be to figure out diagnose of AAC.

Keywords: acute acalculous cholecystitis, diagnostic, AAC.