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Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report

Bibliographic Details
Main Author: Melo, Ryan
Publication Date: 2016
Other Authors: Pedro, Luís M, Silvestre, Luís, Freire, José P., Pereira, Cláudia, Fernandes, Ruy Fernandes e, Fernandes, José Fernandes e
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/44828
Summary: © 2016 The Authors.Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/4.0/)
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spelling Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case reportChronic mesenteric ischemiaAcute-on-chronic mesenteric ischemiaAcute acalculous cholecystitisOpen aortic revascularizationCase report© 2016 The Authors.Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/4.0/)INTRODUCTION: Symptomatic chronic mesenteric ischemia (CMI) is an uncommon condition that usually presents with intestinal angina, sitophobia and unintentional weight loss. Acute acalculous cholecystitis (AAC) has very rarely been described in the settings of CMI. PRESENTATION OF CASE: We describe a case of a 73 year old man that developed an AAC as a complication of CMI. The patient underwent a simultaneous cholecystectomy and open aortic revascularization which was successful. At 24 months of follow-up the patient is clinically well and regained weight.DISCUSSION: Ischemia has been considered an important etiology for the development of AAC. In the settings of CMI, an AAC might develop has a herald sign of progression to acute mesenteric ischemia and infarction, as the cystic artery is a terminal artery with no collateral network. Performing the aortic revascularization simultaneously with the cholecystectomy might prevent this possible fatal outcome. CONCLUSION: This case reinforces aortic and visceral occlusive disease as a possible risk factor for thedevelopment of AAC, and discusses the treatment controversies when managing both conditions simultaneously.ElsevierRepositório da Universidade de LisboaMelo, RyanPedro, Luís MSilvestre, LuísFreire, José P.Pereira, CláudiaFernandes, Ruy Fernandes eFernandes, José Fernandes e2020-11-10T16:36:57Z20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44828engInternational Journal of Surgery Case Reports 25 (2016) 207–21110.1016/j.ijscr.2016.06.0442210-2612info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:24:03Zoai:repositorio.ulisboa.pt:10451/44828Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:11:06.255699Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
title Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
spellingShingle Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
Melo, Ryan
Chronic mesenteric ischemia
Acute-on-chronic mesenteric ischemia
Acute acalculous cholecystitis
Open aortic revascularization
Case report
title_short Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
title_full Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
title_fullStr Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
title_full_unstemmed Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
title_sort Acute acalculous cholecystitis as a rare manifestation of chronic mesenteric ischemia : a case report
author Melo, Ryan
author_facet Melo, Ryan
Pedro, Luís M
Silvestre, Luís
Freire, José P.
Pereira, Cláudia
Fernandes, Ruy Fernandes e
Fernandes, José Fernandes e
author_role author
author2 Pedro, Luís M
Silvestre, Luís
Freire, José P.
Pereira, Cláudia
Fernandes, Ruy Fernandes e
Fernandes, José Fernandes e
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Melo, Ryan
Pedro, Luís M
Silvestre, Luís
Freire, José P.
Pereira, Cláudia
Fernandes, Ruy Fernandes e
Fernandes, José Fernandes e
dc.subject.por.fl_str_mv Chronic mesenteric ischemia
Acute-on-chronic mesenteric ischemia
Acute acalculous cholecystitis
Open aortic revascularization
Case report
topic Chronic mesenteric ischemia
Acute-on-chronic mesenteric ischemia
Acute acalculous cholecystitis
Open aortic revascularization
Case report
description © 2016 The Authors.Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/4.0/)
publishDate 2016
dc.date.none.fl_str_mv 2016
2016-01-01T00:00:00Z
2020-11-10T16:36:57Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/44828
url http://hdl.handle.net/10451/44828
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal of Surgery Case Reports 25 (2016) 207–211
10.1016/j.ijscr.2016.06.044
2210-2612
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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