A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes

Yoshinori Masui, Akahito Sako, Naonori Tsuda, So Nishimura, Yasuji Seyama, Masato Nishida, Junichi Shindo, Takaaki Sakamoto, Hiroshi Kaneko, Hidekatsu Yanai

Abstract


An impairment of gallbladder motility due to autonomic neuropathy may cause cholestasis and result in gallbladder stone formation. Diabetes is one of risk factors for acute cholecystitis. Diabetes and steroid use are associated with the susceptibility to bacterial infections, we are apt to diagnose steroid-induced diabetic patients manifesting symptoms of cholecystitis as having acute bacterial infective cholecystitis. Here, we report a very rare steroid-induced diabetic patient complicated with gallbladder torsion-induced necrotizing cholecystitis due to a floating gallbladder.




doi:10.4021/jocmr752w


Keywords


Cholecystitis; Diabetes; Floating gallbladder; Torsion

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