Acute cholecystitis is inflammation of the gallbladder. It usually occurs when a gallstone blocks the cystic duct. The main complications of acute cholecystitis like gangrenous cholecystitis, which can cause a serious infection that could spread throughout the body. Perforated gallbladder which can spread the infection (peritonitis) or lead to a build-up of pus (abscess). Without appropriate treatment, acute cholecystitis can sometimes lead to potentially life-threatening complications. In this case report we are discussing Portal vein thrombosis a rare complication of acute cholecystitis in a 71-year-old gentleman, which underwent sudden deterioration in absence of signs of peritonitis and the offending cause was removed surgically with laparoscopic cholecystectomy and was started on anticoagulants immediately after surgery which resulted in improvement in patient condition with recanalization of portal vein on follow up.
Bajrang Bawliya, Paresh Ambalal Jain, Karmkrit Jain. A case of acute calculous cholecystitis with sudden deterioration in the absence of signs of peritonitis: A case report. International Journal of Surgery Research, Volume 3, Issue 2, 2021, Pages 22-25