Acute non-calculous cholecystitis in a young aged patient with COVID-19: A case report

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Abstract

To date, it is known that COVID-19 can lead to damage to various organs and systems, despite the statistical prevalence of respiratory manifestations of the disease. In some cases, in order to treat complications of coronavirus infection, a multidisciplinary approach may be required, including on an urgent basis. The article presents a clinical case of acute non-calculous cholecystitis in a 41-year-old patient with COVID-19. The importance of timely diagnosis and providing the possibility of emergency surgical care to patients with COVID-19, even under the conditions of the anti-epidemic regime, has been demonstrated.

About the authors

Vladimir V. Salukhov

Kirov Military Medical Academy

Author for correspondence.
Email: vlasaluk@yandex.ru
ORCID iD: 0000-0003-1851-0941

д-р мед. наук, нач. 1-й каф. (терапии усовершенствования врачей) им. акад. Н.С. Молчанова

Russian Federation, Saint Petersburg

Yaroslav R. Lopatin

Kirov Military Medical Academy

Email: yaroslavlopatin11@gmail.com
ORCID iD: 0000-0002-7008-3054

студент 6-го курса

Russian Federation, Saint Petersburg

Alexey A. Minakov

Kirov Military Medical Academy

Email: minakom@mail.ru
ORCID iD: 0000-0003-1525-3601

адъюнкт 1-й каф. (терапии усовершенствования врачей) им. акад. Н.С. Молчанова

Russian Federation, Saint Petersburg

Аlexey B. Bogomolov

Kirov Military Medical Academy

Email: bg-ab@mail.ru
ORCID iD: 0000-0002-6110-1097

канд. мед. наук, преподаватель 1-й каф. (терапии усовершенствования врачей) им. акад. Н.С. Молчанова

Russian Federation, Saint Petersburg

Ekaterina O. Salosina

Kirov Military Medical Academy

Email: yaroslavlopatin11@gmail.com
ORCID iD: 0000-0002-0267-6392

ординатор 1-го года 1-й каф. (терапии усовершенствования врачей) им. акад. Н.С. Молчанова

Russian Federation, Saint Petersburg

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Supplementary files

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2. Fig. 1. Expression of type 2 receptor for angiotensin-converting enzyme in human tissues based on transcriptomics (adaptation [12]).

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3. Fig. 2. CT scan of the chest organs at the level of the tracheal bifurcation from 06.10.2021. CT picture of bilateral polysegmental viral pneumonia, lesion volume ~25%.

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4. Fig. 3. CT of the chest at the level of the tracheal bifurcation from 10.18.2021. A pronounced negative dynamics is determined due to the appearance of numerous zones of interstitial infiltration in all lung fields. Damage volume ~75%.

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5. Fig. 4. Dynamics of C-reactive protein during the disease period.

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6. Fig. 5. CT scan of the abdomen from 11.09.2021. The gallbladder is enlarged to 10043 mm. There is a thickening of the gallbladder wall up to 11.5 mm and its local stratification at the level of the bottom. Fluid content is visible in the lumen. Surrounding tissues are reactively changed.

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7. Fig. 6. Micropreparation of the wall of the removed gallbladder. There is a diffuse thickening of the gallbladder wall with partial delamination, deformed villi of the mucous membrane, sinuses of Rokitansky–Aschoff.

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