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22-Nov-2025
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Arch Hellen Med, 43(1), January-February 2026, 132-141 HISTORY OF MEDICINE Acute acalculous cholecystitis A. Aristodimou, Z. Raptopoulos, E. Xenofontos |
Acute acalculous cholecystitis (AAC) represents 5–10% of all cases of acute cholecystitis and is defined by gallbladder wall thickening, with or without pericholecystic fluid, in the absence of gallstones. We present the case of a 29-year-old man with a medical history of recurrent sinusitis, who presented to the accident and emergency department with a 24-hour history of abdominal pain and fever, alongside a four-month history of polyuria and polydipsia. The patient was diagnosed with severe diabetic ketoacidosis (DKA) with a pH of 6.9, subsequently developing AAC. He was managed conservatively.
Key words: Acute acalculous cholecystitis, Acute cholecystitis, Computed tomography, Diabetic ketoacidosis, Ultrasound.
