Presentation
Immunosuppressed. Febrile with right upper quadrant pain.
Patient Data
Age: 50 years
Gender: Male
From the case:
Acalculous cholecystitis
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Distended gallbladder containing biliary sludge but no cholelithiasis. Marked wall thickening (4-6 mm) and hypervascularity. Pain associated with transducer probe pressure. Intramural edema. Peri-cholecystic fluid.
These findings are consistent with acute acalculous cholecystitis.
Case Discussion
The patient was immunocompromised from his renal transplant medications and had a complicated COVID-19 infection managed in ICU. Due to his inability to have a cholecystectomy, a percutaneous cholecystostomy was performed as a bridge towards surgery.