Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure
Cholesterol embolization syndrome (CES) is an atherosclerotic complication affecting different systems with various clinical manifestations, usually triggered iatrogenically by interventional and surgical procedures or thrombolytic therapy, although spontaneous cases have been reported. The hepatobi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2020-10-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/1953 |
| _version_ | 1818499462677397504 |
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| author | Ossama Maadarani Hany Alfayed Zouheir Bitar Moataz Daher Tamer Zaalouk Mohamed Abdelfatah |
| author_facet | Ossama Maadarani Hany Alfayed Zouheir Bitar Moataz Daher Tamer Zaalouk Mohamed Abdelfatah |
| author_sort | Ossama Maadarani |
| collection | DOAJ |
| description | Cholesterol embolization syndrome (CES) is an atherosclerotic complication affecting different systems with various clinical manifestations, usually triggered iatrogenically by interventional and surgical procedures or thrombolytic therapy, although spontaneous cases have been reported. The hepatobiliary system can also be affected when the showered cholesterol crystals obliterate small vessels within this system causing both ischaemic and inflammatory responses. We describe a case of a male patient who initially developed multiple lacunar cerebral infarcts 10 days post-thrombolytic therapy and percutaneous coronary intervention (PCI) due to acute myocardial infarction. Several weeks later he developed acalculous cholecystitis complicated by liver abscess and kidney injury. The consequences and latency of manifestations within different organs and the temporal relationship with well-known trigger factors raised the suspicion of CES. |
| first_indexed | 2024-12-10T20:29:48Z |
| format | Article |
| id | doaj.art-4f554fa321274d059f1687e300643eaa |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-10T20:29:48Z |
| publishDate | 2020-10-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-4f554fa321274d059f1687e300643eaa2022-12-22T01:34:44ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-10-0110.12890/2020_0019531569Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common ProcedureOssama Maadarani0Hany Alfayed1Zouheir Bitar2Moataz Daher3Tamer Zaalouk4Mohamed Abdelfatah5Internal Medical Department, Ahmadi Hospital – Kuwait Oil Company, KuwaitInternal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, KuwaitInternal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, KuwaitInternal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, KuwaitInternal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, KuwaitInternal Medicine Department, Ahmadi Hospital - Kuwait Oil Company, KuwaitCholesterol embolization syndrome (CES) is an atherosclerotic complication affecting different systems with various clinical manifestations, usually triggered iatrogenically by interventional and surgical procedures or thrombolytic therapy, although spontaneous cases have been reported. The hepatobiliary system can also be affected when the showered cholesterol crystals obliterate small vessels within this system causing both ischaemic and inflammatory responses. We describe a case of a male patient who initially developed multiple lacunar cerebral infarcts 10 days post-thrombolytic therapy and percutaneous coronary intervention (PCI) due to acute myocardial infarction. Several weeks later he developed acalculous cholecystitis complicated by liver abscess and kidney injury. The consequences and latency of manifestations within different organs and the temporal relationship with well-known trigger factors raised the suspicion of CES.https://www.ejcrim.com/index.php/EJCRIM/article/view/1953cholesterol crystalsacalculous cholecystitisliver abscess |
| spellingShingle | Ossama Maadarani Hany Alfayed Zouheir Bitar Moataz Daher Tamer Zaalouk Mohamed Abdelfatah Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure European Journal of Case Reports in Internal Medicine cholesterol crystals acalculous cholecystitis liver abscess |
| title | Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure |
| title_full | Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure |
| title_fullStr | Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure |
| title_full_unstemmed | Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure |
| title_short | Acalculous Cholecystitis Complicated by Liver Abscess as a Manifestation of Cholesterol Embolization Syndrome – Infrequent Manifestation Precipitated by a Common Procedure |
| title_sort | acalculous cholecystitis complicated by liver abscess as a manifestation of cholesterol embolization syndrome infrequent manifestation precipitated by a common procedure |
| topic | cholesterol crystals acalculous cholecystitis liver abscess |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/1953 |
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