Acute acalculous cholecystitis and gall bladder perforation induced by <i>Salmonella enterica</i> serovar typhi

Authors

  • N. S. Khatri Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • S. Koirala Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • A. Arjyal Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • P. Maskey Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu,
  • S. Poudel Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu,
  • A. Karkey Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • S. Baker Oxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam and Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, Oxford
  • O. Shilpakar Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • K. Shrestha Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu
  • B. Basnyat Oxford University Clinical Research Unit, Patan Hospital, Lagankhel, Lalitpur, Kathmandu and Patan Hospital, Lagankhel, Lalitpur, Bagmati, Kathmandu

Keywords:

Acalculous cholecystitis, Perforation, Salmonella Typhi

Abstract

Salmonella Typhi is a causative agent of enteric fever, which is an ongoing public health problem in urban areas of the Kathmandu valley in Nepal. It is estimated that approximately 5 % of people in an endemic enteric fever area may asymptomatically carry Salmonella Typhi in the gall bladder. Here we describe a rare clinical manifestation of chronic Salmonella carriage. A 40 year old male resident of Kathmandu underwent an emergency cholecystectomy for acute cholecystitis and gall bladder perforation. No stone was identified but Salmonella Typhi was cultured from the gall bladder.

Key Words: Acalculous cholecystitis, perforation, Salmonella Typhi.

DOI: 10.3126/joim.v31i3.3002

Journal of Institute of Medicine, December, 2009; 31(3)63-65

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How to Cite

Khatri, N. S., Koirala, S., Arjyal, A., Maskey, P., Poudel, S., Karkey, A., Baker, S., Shilpakar, O., Shrestha, K., & Basnyat, B. (2010). Acute acalculous cholecystitis and gall bladder perforation induced by <i>Salmonella enterica</i> serovar typhi. Journal of Institute of Medicine Nepal, 31(3), 63–65. Retrieved from https://nepjol.info/index.php/JIOM/article/view/3002

Issue

Vol. 31 No. 3 (2009)

Section

Case Reports