ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Acute ischemic cholecystitis in Takayasu’s syndrome – a rare finding

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ABSTRACT
Introduction. Takayasu’s arteritis or pulseless disease is a systemic inflammatory disease of an unknown etiology, affecting medium and large arteries and their branches, leading to stenosis, occlusions, or aneurysmal degeneration. It is more frequent in young Asian women. Case presentation. We present a rare case of Takayasu’s disease in a young woman, who initially developed an acute ischemic cholecystitis. Ischemia is one of the mechanisms involved in the pathogenesis of acute acalculous cholecystitis. As this mechanism is most often involved in elderly people, such an uncommon finding at young age should be a reason to suspect a vasculitis with small vessel occlusion.
Conclusions. Acute cholecystitis in this patient was the first onset sign of Takayasu’s arteritis. An acute acalculous cholecystitis at young age could be of ischemic origin and should also be considered as a possible epiphenomenon of a generalized vasculitis disease.
Keywords: acute ischemic cholecystitis, acalculous cholecystitis, Takayasu’s arteritis.

Full text sources https://doi.org/10.31688/ABMU.2018.53.2.20    How to Cite  Email to Author

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Emergency Clinical Hospital „Sfântul Pantelimon“ Șoseaua Pantelimon no. 340-342, 1st floor, General Surgery Department Phone: +40788491091, Fax: +40212550064, email bogdansocea@gmail.com

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Socea B, Carâp AC, Socea LI, Dimitriu M, Bratu OG, Diaconu C, Dumitrescu D, Constantin VD. Acute ischemic cholecystitis in Takayasu’s syndrome – a rare finding. Arch Balk Med Union, 2018, 53(2): 292-296. DOI 10.31688/ABMU.2018.53.2.13