Acalculous Cholecystitis: The Unexpected Mask of De Novo Heart Failure.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-03-19 eCollection Date: 2025-03-01 DOI:10.1002/ccr3.70324

Mhd Baraa Habib, Maram Albandak, Mhd Husam Osman, Shahem Abbarh, Bisher Sawaf, Yaseen Alastal, Abdulrahman Arabi

引用次数: 0

Abstract

Acute acalculous cholecystitis refers to inflammation of the gallbladder without the presence of gallstones or obstruction of the cystic duct. Heart failure is recognized for causing congestive hepatopathy and can lead to gallbladder swelling, often challenging to distinguish from acalculous cholecystitis. Here, we present a case of a patient whose symptoms initially resembled acalculous cholecystitis but were instead caused by acute severe heart failure and cardiogenic shock. Maintaining a broad differential diagnosis, including decompensated heart failure, is essential when evaluating cases resembling acalculous cholecystitis.

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急性结石性胆囊炎是指胆囊发炎，但不伴有胆结石或胆囊管阻塞。心力衰竭被认为可引起充血性肝病，并可导致胆囊肿胀，通常很难与结石性胆囊炎相鉴别。在此，我们介绍了一例患者的病例，其症状最初与结石性胆囊炎相似，但却是由急性严重心力衰竭和心源性休克引起的。在评估类似结石性胆囊炎的病例时，保持广泛的鉴别诊断（包括失代偿性心力衰竭）至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).