Gallbladder Empyema: A Dreadly Complication of Acute Cholecystitis
DOI:
10.29303/jbt.v23i1.5783Published:
2023-11-01Downloads
Abstract
Gallbladder empyema is a severe form of acute cholecystitis with additional suppuration with an incidence rate of 6.3%-26.6% and a mortality rate 3%. If not treated promptly, gallbladder empyema can cause complications. Therefore, in this literature review we will discuss gallbladder empyema in more depth and the immediate treatment that must be carried out to avoid complications in patients. In this literature review Schoolar, we conducted a search on the PubMed and Sciencedirect database using the search keyword “gallbladder empyema”, “empyema”, and “gallbladder”. Gallbladder empyema can occur due to bile that cannot be excreted from the gallbladder will cause infection from microorganisms so that the gallbladder becomes full of exudative material in the form of pus, causing acute inflammation. Diagnosis of gallbladder empyema can be done using Ultrasonography and Computed Tomography Scan (CT Scan). Percutaneous transhepatic gallbladder drainage (PTGBD) is a procedure for the initial management of gallbladder empyema before laparoscopic cholecystectomy. If gallbladder empyema is treated immediately, the prognosis is good. If not treated promptly, gallbladder empyema can lead to peritonitis, and bacteremia leading to a rapid systemic inflammatory response, shock, and sepsis.
Keywords:
Acute cholecystitis, gallbladder empyema, aparoscopic cholecystectomy, percutaneous transhepatic gallbladder drainage.References
Arowolo, O. A., Lawal, O. O., Akinkuolie, A. A., & Adisa, A. O. (2009). A middle aged woman presenting with massive empyema of the gallbladder: a case report. Cases Journal, 2, 1-3. DOI: 10.4076/1757-1626-2-7827
Bickel, A., Hoffman, R. S., Loberant, N., Weiss, M., & Eitan, A. (2016). Timing of percutaneous cholecystostomy affects conversion rate of delayed laparoscopic cholecystectomy for severe acute cholecystitis. Surgical endoscopy, 30, 1028-1033. DOI: 10.1007/s00464-015-4290-y
Brahma, R. C., Bora, B., & Thengal, D. (2016). Clinical study of empyema of gall bladder in Assam medical college and hospital, India. International Surgery Journal, 3(3), 1329-1335. DOI: https://doi.org/10.18203/2349-2902.isj20162171
El Zanati, H., Nassar, A. H., Zino, S., Katbeh, T., Ng, H. J., & Abdellatif, A. (2020). Gall bladder empyema: early cholecystectomy during the index admission improves outcomes. JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 24(2). DOI: 10.4293/JSLS.2020.00015
Elkbuli, A., Sanchez, C., Kinslow, K., McKenney, M., & Boneva, D. (2020). Uncommon presentation of severe empyema of the gallbladder: case report and literature review. The American Journal of Case Reports, 21, e923040-1. DOI: 10.12659/AJCR.923040
Halpin, Valerie. (2014)). “Acute Cholecystitis Search Date October 2013 Digestive System Disorders Acute Cholecystitis.” Clinical Evidence (October 2013): 1–24.
Hassler, K. R., Collins, J. T., Philip, K., & Jones, M. W. (2023). Laparoscopic cholecystectomy. In StatPearls [Internet]. StatPearls Publishing. URL: https://www.ncbi.nlm.nih.gov/books/NBK448145/
Kashyap, S., Mathew, G., & King, K. C. (2017). Gallbladder Empyema. URL: https://www.ncbi.nlm.nih.gov/books/NBK459333/.
Khan, Muhammad Laiq uz Zaman, Muhammad Jawed, Ubedullah Shaikh, and Mujeeb Rehman Abbassi. (2014). “Male Gender and Sonographic Gall Bladder Wall Thickness: Important Predictable Factors for Empyema and Gangrene in Acute Cholecystitis.” Journal of the Pakistan Medical Association 64(2): 159–62. URL: https://pubmed.ncbi.nlm.nih.gov/24640804/
Kwon, Y. J., Ahn, B. K., Park, H. K., Lee, K. S., & Lee, K. G. (2013). What is the optimal time for laparoscopic cholecystectomy in gallbladder empyema?. Surgical endoscopy, 27, 3776-3780. DOI: 10.1007/s00464-013-2968-6
Lee, R., Ha, H., Han, Y. S., Kwon, H. J., Ryeom, H., & Chun, J. M. (2017). Percutaneous transhepatic gallbladder drainage followed by elective laparoscopic cholecystectomy for patients with moderate to severe acute cholecystitis. Medicine, 96(44): 1–5. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682837/
Liu, J., Yan, Q., Luo, F., Shang, D., Wu, D., Zhang, H., ... & Xin, Y. (2015). Acute cholecystitis associated with infection of Enterobacteriaceae from gut microbiota. Clinical Microbiology and Infection, 21(9), 851-e1. DOI: 10.1016/j.cmi.2015.05.017
Malik, A., Laghari, A. A., Talpur, K. A. H., Memon, A., Mallah, Q., & Memon, J. M. (2007). Laparoscopic cholecystectomy in empyema of gall bladder: An experience at Liaquat University Hospital, Jamshoro, Pakistan. Journal of Minimal Access Surgery, 3(2): 52–56. DOI: 10.4103/0972-9941.33273
Mehta, Varun, Gail Yarmish, Joshua Greenstein, and Barry Hahn. (2016). “Gallbladder Empyema.” Journal of Emergency Medicine 50(6): 893–94. DOI: http://dx.doi.org/10.1016/j.jemermed.2016.03.028.
Ortiz-Hernández, A., Castro Flores, J. A., Álvarez-Hernández, D. A., Pérez Aldrett, F., Herrera González, L. P., & Méndez Ibarra, J. U. (2022). Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report. Therapeutic Advances in Infectious Disease, 9(6): 1–6. DOI: 10.1177/20499361221129161
Radunovic, M., Lazovic, R., Popovic, N., Magdelinic, M., Bulajic, M., Radunovic, L., ... & Radunovic, M. (2016). Complications of laparoscopic cholecystectomy: our experience from a retrospective analysis. Open access Macedonian journal of medical sciences, 4(4), 641. DOI: 10.3889/oamjms.2016.128
Sharma, R., Stead, T. S., Aleksandrovskiy, I., Amatea, J., & Ganti, L. (2021). Gallbladder hydrops. Cureus, 13(9). DOI: 10.7759/cureus.18159
Taki-Eldin, A., & Badawy, A. E. (2018). Outcome of laparoscopic cholecystectomy in patients with gallstone disease at a secondary level care hospital. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo),31(1): 1–4. DOI: 10.1590/0102-672020180001e1347
Tseng, L. J., Tsai, C. C., Mo, L. R., Lin, R. C., Kuo, J. Y., Chang, K. K., & Jao, Y. T. (2000). Palliative percutaneous transhepatic gallbladder drainage of gallbladder empyema before laparoscopic cholecystectomy. Hepato-gastroenterology, 47(34), 932-936. URL: https://pubmed.ncbi.nlm.nih.gov/11020851/
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