A case of cholecystitis discovered due to an abdominal wall abscess

Abstract

We experienced a rare case of cholecystitis discovered due to an abdominal wall abscess. A 54-year-old woman suffering right flank pain for two months had received a pain-killer prescription from a neighborhood doctor. Abdominal pain increased and she consulted our hospital. At the time of the first medical examination, the right hypochondrium showed a flare sign which was accompanied by tenderness. The bottom of the gallbladder was shown to adhere to the abdominal wall on CT and formed an abscess at the abdominal wall. The gallbladder wall was thickened, and a gallbladder calculus was also revealed. An abdominal wall abscess was diagnosed, due to cholelithiasis and cholecystitis. After hospitalization, she was treated with antibiotics, but did not improve. She underwent open surgery. We performed curettage of the abdominal wall abscess and cholecystectomy. Pothologically, the gallbladder did not show malignancy.