Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Acalculous Cholecystitis Caused by Giardia lamblia
Hiromichi ArakiShuya ShimizuKatsumi HayashiTomonori YamadaAtsunori KusakabeHiroshi KanieYusuke MizunoIssei KojimaAkitoshi SaitouKazuhiro NagaoYuka SuzukiTadashi ToyoharaTakanori SuzukiErika UchidaKonomu UnoTakahiro Nakazawa
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ジャーナル オープンアクセス

2017 年 56 巻 13 号 p. 1657-1662

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We report a case of a 70-year-old man with acute acalculous cholecystitis caused by Giardia lamblia. Contrast-enhanced computed tomography (CT) showed distention of the gallbladder due to a pericholecystic abscess without gallstones. Magnetic resonance cholangiopancreatography and drip infusion cholecystocholangiography-CT demonstrated a stricture of the hilar bile duct and cystic duct obstruction. We conducted transpapillary bile duct brush cytology and a biopsy of the hilar bile duct stricture; numerous active trophozoites of Giardia lamblia were observed without malignant findings. We considered this bile duct lesion to be biliary giardiasis. Biliary giardiasis should be taken into consideration when diagnosing acute acalculous cholecystitis.

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© 2017 by The Japanese Society of Internal Medicine
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