Can dengue affect gallbladder?

Can dengue affect gallbladder?

Dengue fever is a major public health problem with an increased incidence in recent years. Gall bladder wall thickening has been reported as one of the most common findings in dengue fever.

Which condition is associated with acalculous cholecystitis?

Perforation of the gallbladder commonly occurs in acalculous cholecystitis as one of the complications, a type of which is biliary-enteric fistula.

Can dengue cause gallstones?

There was a tendency for gallbladder edema in patients with higher increases in hematocrit. Conclusion: It conclude that gallbladder edema is more common in cases of secondary dengue and that there is a tendency for gallbladder edema with higher increase of hematocrit.

Why does the gallbladder thicken in dengue?

Gallbladder wall thickening (GBWT) is one manifestation of increased capillary permeability [5]. GBWT above 3mm is significantly associated with more severe cases of dengue, and a thickness greater than 5mm could identify dengue patients with a higher risk of developing hypovolemic shock [6].

What causes gallbladder wall edema?

Systemic diseases, such as liver disorders or heart failure, may lead to diffuse gallbladder edema. Liver cirrhosis, hepatitis, and congestive right heart failure are relatively frequent causes of diffuse gallbladder edema.

What is GB edema?

It usually occurs when drainage from the gallbladder becomes blocked (often from a gallstone). It may be acute (come on suddenly) and cause severe pain in the upper abdomen. Or it may be chronic (multiple recurrent episodes) with swelling and irritation that occurs over time.

What are the symptoms of acalculous cholecystitis?

Symptoms of acute cholecystitis (including nausea and vomiting, fever, chills, yellowish tinge to the whites of the eyes or skin, bloating of the abdomen, pain that typically occurs after a meal) Distended gallbladder that a healthcare provider can palpate (feel) upon physical examination.

What of cases of acute cholecystitis are Acalculous?

Acalculous cholecystitis is an acute necroinflammatory disease of the gallbladder with a multifactorial pathogenesis. It accounts for approximately 10 percent of all cases of acute cholecystitis and is associated with high morbidity and mortality rates.

How do you treat thickening of the gallbladder wall?

How can cholecystitis be treated?

1. Fasting, to rest the gallbladder.
2. IV fluids to prevent dehydration.
3. Pain medication.
4. Antibiotics to treat infection.
5. Removing the gallbladder.
6. Draining the gallbladder to treat and prevent the spread of infection.
7. Removing gallstones in the area blocking the common bile duct.

What is gallbladder wall thickening?

Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. Historically, a thick-walled gallbladder has been regarded as proof of primary gallbladder disease, and it is a well-known hallmark feature of acute cholecystitis.

When is cholecystitis an emergency?

The most common gallstone symptom is severe abdominal pain in the upper right area of the stomach, which can spread to the shoulder or upper back. You may also vomit and feel nauseous. Seek emergency medical care if these symptoms last more than two hours or you have a fever.

How serious is acalculous cholecystitis?

Without appropriate treatment, acute cholecystitis can sometimes lead to potentially life-threatening complications. The main complications of acute cholecystitis are: the death of gallbladder tissue (gangrenous cholecystitis) – which can cause a serious infection that could spread throughout the body.

How is acalculous cholecystitis diagnosed?

The test of choice for chronic acalculous cholecystitis is a cholescintigraphy nuclear scan (HIDA) with the administration of cholecystokinin (CCK). This study examines the function of the gallbladder. After the radionuclide is administered, CCK is given to stimulate the gallbladder to empty.

What is the most common cause of cholecystitis?

Most often, cholecystitis is the result of hard particles that develop in your gallbladder (gallstones). Gallstones can block the tube (cystic duct) through which bile flows when it leaves the gallbladder. Bile builds up, causing inflammation. Tumor.

Is cholecystitis life threatening?

How do I know if my gallbladder is inflamed?

Symptoms

1. Severe pain in your upper right or center abdomen.
2. Pain that spreads to your right shoulder or back.
3. Tenderness over your abdomen when it’s touched.
4. Nausea.
5. Vomiting.
6. Fever.

Is Acalculous cholecystitis serious?

Acalculous cholecystitis is a less common, but usually more serious, type of acute cholecystitis. It usually develops as a complication of a serious illness, infection or injury that damages the gallbladder.

What is the treatment for Acalculous cholecystitis?

As with many infections, the mainstay of treatment is antibiotics and source control, and the latter typically involves a cholecystectomy or a percutaneous drain into the gallbladder.

How is acute acalculous cholecystitis treated in dengue fever?

Acute acalculous cholecystitis was seen in a significant proportion of patients with dengue fever. All patients improved with good hydration and correction of thrombocytopenia.

What is acalculous cholecystitis?

Acalculous cholecystitis is inflammation of the gallbladder without gallstones. Acalculous cholecystitis can be acute (i.e., symptoms for less than 1 month) or chronic (i.e., symptoms for longer than 3 months).81

When is drainage of acalculous cholecystitis indicated?

If acalculous cholecystitis is deemed to be fairly likely, drainage may be reasonable. Drainage may be reasonable even if the diagnosis remains uncertain (especially if the patient is extremely ill and no alternative explanation is present).

What is the prognosis of acalculous cholecystitis?

Acalculous cholecystitis often goes unrecognized initially, because of intubation and sedation. This can lead to a high rate of progression to gallbladder necrosis (50%) and perforation (10%).