Published: 2017-03-23

Acute acalculous cholecystitis in dengue fever patients

Manish Chandey, Harjot Kaur, Sukhjeet Kaur


Background: Dengue fever is an acute febrile illness characterized by frontal headache, retro ocular pain, muscle and joint pain, nausea, vomiting and rash. Frequent sonographic findings in a case of dengue include thickened gall bladder with pericholecystitic fluid, ascites, spleenomegaly and pleural effusion which is commonly right sided.

Methods: 540 patients of confirmed dengue fever were subjected to ultrasonography abdomen to find the incidence of acalculous cholecystitis for diagnostic and prognostic significance.

Results: Acalculous cholecystitis was detected in 210 patients (38.88%) of confirmed dengue fever. Patients developing acalculous cholecystitis recovered with conservative treatment only though the hospital stay was prolonged in these patients.

Conclusions: In dengue fever patients, acute acalculous cholecystitis is not uncommon and is usually self-limiting and resolves with conservative management only. Role of ultrasonography has a supporting role in dengue fever for prognostic and diagnostic significance.


Acalculous cholecystitis, Dengue fever

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