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Case Report
Acalculous cholecystitis and ascites in a patient with rhabdomyolysis: A case report
1 Emergency Department, Security Forces Hospital, P.O. Box 3643, Riyadh City 11481, Kingdom of Saudi Arabia
Address correspondence to:
Yahia Akeely
MD, Emergency Department, Security Forces Hospital, P.O. Box 3643, Riyadh City 11481,
Kingdom of Saudi Arabia
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Article ID: 100108Z06IS2022
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How to cite this article
Showaihi I, Akeely Y, Bokhari N, Saulat SR, Almalki N, Aldini M. Acalculous cholecystitis and ascites in a patient with rhabdomyolysis: A case report. Case Rep Int 2022;11(2):1–4.ABSTRACT
Introduction: Rhabdomyolysis is a muscle breakdown caused by a variety of factors. Based on a review of the literature, we are unaware of any case reports that discuss these complications of rhabdomyolysis with acalculous cholecystitis and ascites.
Case Report: This patient is a 24-year-old man who had never had a chronic illness before. He was a nonsmoker and did not consume alcoholic beverages. He went to the emergency room (ER) because he was having upper abdominal pain and aches throughout his body. He was just started a rigorous physical activity-based training regimen. A total creatine kinase (CK) level more than 5 times higher than the upper normal value confirmed the diagnosis. For the upper abdominal pain, an ultrasound was performed. It reveals ascites and a thick-walled gallbladder. With a decrease in repeated total CK and clinical improvements, the patient was discharged home after aggressive hydration. The patient was asymptomatic at the follow-up appointment, and the ultrasound showed no ascites or gallbladder wall thickness.
Conclusion: These are a rare complication of rhabdomyolysis. It implies that acalculous cholecystitis and ascites should be interpreted in light of the clinical scenario and presentation. The workup for ascites and acalculous differential diagnosis was uneventful. In a young patient with rhabdomyolysis, acalculous cholecystitis and ascites is an unusual occurrence.
Keywords: Acalculous cholecystitis, Ascites, Rhabdomyolysis
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Author Contributions
Ibrahim Showaihi - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Yahia Akeely - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nader Bokhari - Acquisition of data, Final approval of the version to be published
Swaid Raza Saulat - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Naif Almalki - Interpretation of data, Drafting the article, Final approval of the version to be published
Mohammed Aldin - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Ibrahim Showaihi et al.. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
