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Post-traumatic gangrenous acalculous cholecystitis: A case report

Peter Runodada
Chenesa Mbanje
Aspect J.V. Maunganidze
Simbarashe G. Mungazi


Acute acalculous cholecystitis in trauma patients is an elusive diagnosis, more so if the patient sustained blunt abdominal trauma. It can arise as a post-traumatic or postsurgical complication, occurring more in critically ill patients. A high index of suspicion for acalculous cholecystitis must be maintained for critically ill patients with newly developing symptoms or septicaemia.

We describe a case of a 27-year-old male patient who sustained blunt abdominal trauma in a road traffic accident. He had at least grade III liver injury and later developed gangrenous acalculous cholecystitis, which was confirmed histopathologically after open cholecystectomy.

Keywords: gangrenous acalculous cholecystitis; trauma; cholecystectomy