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Table 1: Case series. General characteristics of the patients. |
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|
Sex |
Age (years) |
Background |
Clinical presentation |
Findings in imaging studies |
Lab findings |
Bile culture / abscess |
Treatment |
Evolution |
|
Female |
92 |
BADL dependent, T2D, dementia |
Painless RHC tumor |
Lithiasis cholecystitis, choledocholithiasis, parietal abscess, CCF |
Cr 2.91* mg/dl, CRP 157.7* mg/l, GPT 13 U/l, 7,800 WBC/µl |
L. casei |
PD + AB |
Multiorgan failure Died on day six |
|
Male |
87 |
BADL dependent, myasthenia gravis, hypothyroidism, acute cholecystitis |
Painless RHC tumor |
Cholecystitis lithiasis, parietal abscess, FCC |
CRP 1.2 mg/l, GPT 100* U/L, Br 0.5 mg/dl, 7,300 WBC/µl |
E. coli |
PD + AB Temporary PD maintenance |
Favorable |
|
Male |
83 |
BADL independent, HBP, DLP, COPD |
Abdominal pain, painful RHC lump |
Cholecystitis lithiasis, aerobilia, parietal abscess, cholecysto-colo-parietal fistula |
CRP 1.0 mg/dl, GOT 39 U/l, GPT 45 U/l, GGT 92* U/l, FA 84 U/l, Br 0.4 mg/dl, 9,600 WBC/µl |
E. coli S. milleri B. thetaiotaomicron |
PD + AB Definitive: cholecystectomy by laparotomy |
Favorable |
|
Female |
89 |
BADL independent |
Abdominal pain, vomiting, painful RHC lump |
Cholecystitis lithiasis, parietal abscess, CCF |
Cr 1.32* mg/dl, CRP 191.9* mg/l, GOT 63* U/l, GPT 42 U/l, GGT 63* U/l, FA 141* U/l, Br 1.1 mg/dl, 16,200* WBC/µl |
B. ovatus |
PD + CP + AB Temporary maintenance of the COP Definitive: laparoscopic cholecystectomy |
Favorable |
|
Male |
75 |
BADL independent, history of gastric ulcer surgically operated |
Weight loss, irreducible painless lump (laparotomy) |
Alithiasic cholecystitis, parietal abscess, CCF |
CRP 17.1* mg/l, GOT 26 U/l, GPT 11 U/l, GGT 64* U/l, FA 130* U/l, Br 0.2 mg/dl, 7,300 WBC/µl |
4 aerobic bacterial species Mixed anaerobic flora |
DP + AB Palliative: biliary endoprosthesis, chemotherapy |
Favorable Gallbladder neoplasia E. IV Died at month 14 |
|
BADL = basic activities of daily living. T2D = type II diabetes mellitus. RHC = right hypochondrium. CCF = cholecystocutaneous fistula. Cr = serum creatinine. CRP = C-reactive protein. GPT = serum glutamic pyruvic transaminase. WBC = leukocytes. PD = percutaneous drainage. AB = antibiotic therapy. HTA = arterial hypertension. DLP = dyslipidemia. COPD = chronic obstructive pulmonary disease. GOT = glutamic oxaloacetic transaminase. GGT = gamma-glutamyl transferase. PC = percutaneous cholecystostomy. * All data are from the review of medical records performed by authors. |
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