A Case of Acute Cholecystitis Accompanied with Portal Venous Thrombosis

Abstract

A 73-year-old man had previously undergone endscopic sphincterotomy for common bile duct stones. He was admitted to our hospital due to acute cholecystitis with an absess in the right upper abdominal wall. Conservative therapy was unsuccessfull. He was refered to the department of surgery. Enhanced computed tomography showed an increase of the absess in the abdominal wall and thrombi in the left branch and the anterior branch of the portal vein.
A drainage of the absess in the abdominal wall and conservative therapy was successfully performed for acute cholecystitis. Portal venous thrombosis also shrank, but remained at the umbilical portion, so a delayed laparotomy was performed. Laparotomy showed a cholecystocolic fistula. Cholecystectomy and wedge resection of the transverse colon was performed. He was discharged on postoperative day 30. We report a case of acute cholecystitis with portal venous thrombosis with a review of the literature.