Acute alithiasis cholecystitis as a complication of abdominal contusion in adolescent

de Dios Yépez-Florián J.; Villacorta-Acosta R.; Cruzado-Castañeda J.C. · Anales de la Facultad de Medicina (2025) · DOI: 10.15381/anales.v86i1.28399

Resumen

Acute acalculous cholecystitis (AAC) is a very rare emergency that represents up to 70% of cases of acute cholecystitis in the pediatric population. The associated mortality is significantly high. A healthy 14-year-old adolescent suffered a right thoraco-abdominal contusion without injury to abdominal organs. He progressively presented a latent clinical picture of hyporexia, pain in the right upper quadrant, vomiting and on the 5th day fever and jaundice. Acute cholangitis was proposed as the initial diagnosis. Serial images supported the diagnosis of AAC. Noncritical abdominal contusion rarely causes AAC as a posttraumatic complication. Nonspecific clinical manifestations are challenging and constitute a challenge in emergency care. Early diagnosis allowed conservative management, avoiding surgical therapy. This report will help initiate early treatment and reduce mortality in similar emergencies.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Privada Antenor Orrego