Abstract
Background
Significant gastrointestinal complications following cardiac surgery requiring cardiopulmonary bypass (CPB) are relatively infrequent but are associated with high morbidity and mortality rates. Acute acalculous cholecystitis (AAC) may be a devastating complication if the diagnosis is missed or management delayed.
Aim
We present two cases of AAC that followed coronary artery bypass graft (CABG) surgery.
Results
In one case a cholecystectomy was performed whereas percutaneous drainage was utilised in the second case. The application of these two different individualised treatment options lead to successful outcomes in both cases.
Conclusion
Awareness with vigilance enables early diagnosis and treatment. The clinical state of the patient at the time of diagnosis ultimately determines the management strategy in the post cardiac surgery patient.
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References
Saito A, Shirai Y, Ohzeki H, Hayashi J, Eguchi S. Acute acalculous cholecystitis after cardiovascular surgery.Surg Today 1997; 27: 907–9.
Sessions SC, Scoma RS, Sheikh FA, McGeehin WH, Smink RD. Acute acalculous cholecystitis following open heart surgery.Am Surg 1993; 59: 74–7.
D’Ancona G, Baillot R, Poirier B et al. Determinants of gastrointestinal complications in cardiac surgery.Tex Heart Inst J 2003; 30: 280–5.
Sakorafas GH, Tsiotos GG. Intra-abdominal complications after cardiac surgery.Eur J Surg 1999; 165: 820–827.
Ryu JK, Ryu KH, Kim KH. Clinical features of acute acalculous cholecystitis.J Clin Gastroenterol 2003; 36: 166–9.
Egleston CV, Gorey TF, Wood AE, McGovern EM. Gastrointestinal complications after cardiac surgery.Ann R Coll Surg Engl 1993; 75: 52–56.
Yilmaz AT, Arslan M, Demirkilc U et al. Gastrointestinal complications after cardiac surgery.Eur J Cardiothorac Surg 1996; 10: 763–7.
Oudemans-van Straaten HM, Hansen PG, Hoek FJ et al. Intestinal permeability, circulating endotoxin and postoperative systemic responses in cardiac surgery patients.J Cardiothorac Vasc Anesth 1996; 10: 187–194.
Warren BL. Small vessel occlusion in acute acalculous cholecystitis.Surgery 1992; 111: 163–168.
Doty JR, Pitt HA, Porter-Fink V, Denbesten L. Cholecystokinin prophylaxis of parenteral nutrition induced gallbladder disease.Ann Surg 1985; 201: 71–80.
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Healy, D.G., Veerasingam, D., O’Connell, P.R. et al. Acute acalculous cholecystitis following coronary artery bypass surgery. Ir J Med Sci 173, 160–161 (2004). https://doi.org/10.1007/BF03167932
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DOI: https://doi.org/10.1007/BF03167932