Acute acalculous cholecystitis after transurethral resection of the prostate

Abstract

A 61-year-old man presented with a history of 4-month progressive hematuria, frequency, urgency, urinary straining, and terminal dripping, and he was treated with transurethral resection of the prostate in Imam Khomeini Educational Hospital, Urmia, Iran, in August 2016. Four days later, he developed fever, abdominal tenderness, abnormal liver function, and loss of consciousness. Computed tomography scan showed all classical findings suggestive of acute acalculous cholecystitis (AAC). Laparoscopic cholecystectomy was performed. The result showed a distended gallbladder with thickened walls. As the patient presented in this report had no risk factors for acalculous cholecystitis, physicians should be aware of the possibility of AAC as a life-threatening event after transurethral resection of prostate.

Keywords

• Acute acalculous cholecystitis
• benign prostate hyperplasia
• transurethral resection of prostate