THE OCCURRENCE of acute cholecystitis following surgical treatment of disease unrelated to the biliary tract is a problem in diagnosis and management. The purpose of this communication is to briefly record 5 such cases, with particular emphasis on etiology. The fact that 3 of these 5 patients died underlines the desirability of early recognition and treatment.
In 1947, Glenn1 reported 17 cases of acute cholecystitis developing in the early postoperative period. Sparkman2 in 1952 added 5 cases; Schwegman and DeMuth3 in 1953 reported 17 cases occurring over a 23-year period; Glenn4 in 1956 reported 18 additional cases occurring over a 9-year period between 1946 and 1955 on the surgical pavilions of the New York hospital; and 1 additional case was reported by Glenn and Redo5 in 1960. Credit is due Glenn for first proposing that the etiology of this postoperative complication is directly related
Levin MN. Acute Cholecystitis Following Surgery Unrelated to the Biliary Tract. JAMA. 1961;177(9):644-646. doi:10.1001/jama.1961.73040350011014