The Indian Practitioner

Zaheer Amin Virani ¹, Amol Bhagat ¹, Satish Gaitonde ², Prashant Rajput ¹, Prashant Rao ³, Bharat Shah ⁴

Affiliations
1 Institute of Renal Sciences, Global Hospitals, Mumbai, IN
2 Department of Radiology, Global Hospitals, Mumbai, IN
3 Department of Surgery, Global Hospitals, Mumbai, IN
4 Director of Nephrology, Institute of Renal Sciences, Global Hospitals, Mumbai, IN

Abstract

No Abstract.

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Zaheer Amin Virani ¹, Amol Bhagat ¹, Satish Gaitonde ², Prashant Rajput ¹, Prashant Rao ³, Bharat Shah ¹

Affiliations
1 Institute of Renal Sciences, Global Hospitals Mumbai, IN
2 Department of Radiology, Global Hospitals Mumbai, IN
3 Department of Surgery, Global Hospitals, Mumbai, IN

Abstract

A 29 year-old man with history of living donor renal transplant in 2004 (donor mother), new onset diabetes post-transplant, chronic allograft nephropathy and type 1 renal tubular acidosis was admitted with bilateral loin pain and backache. On the basis of the Chest X-ray (CXR) Emphysematous Cholecystitis (E.C) was suspected and an Abdominal CT was done. He was started on antibiotics and underwent laparoscopic cholecystectomy. Postoperatively he developed biliary leak requiring ERCP and laparoscopic peritoneal lavage. He was discharged 11 days later on oral antibiotics. We report a case of E.C a relatively rare and virulent variant of A.C in a post renal transplant patient who presented with insidious symptoms and never developed the classical symptoms of Acute Cholecystitis (A.C). There was no right upper quadrant pain, nausea or vomiting. He was diagnosed accidentally on a CXR and early initiation of antibiotics and surgical intervention prevented morbidity and mortality. His imaging and histopathology showed all the classical features of E.C.

Keywords

Emphysematous Cholecystitis, Living Donor Renal Transplant, Acute Cholecystitis, Chronic Follicular Cholecystitis.

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Zaheer Amin Virani ¹, Amin R. Virani ¹, Shiromin Z. Virani ¹, Ritesh Dholu ²

Affiliations
1 Prince Aly Khan Hospital, Aga Hall, Nesbit Road, Mazgoan, Mumbai-400010, IN
2 Global Hospitals, Parel, Mumbai, IN

Abstract

No Abstract.

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Zaheer Amin Virani

Abstract

Chronic kidney disease (CKD) is defined as the presence of kidney damage (usually detected as urinary albumin excretion of ≥30 mg/day or decreased kidney function (defined as estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m2 ) for three or more months, irrespective of the cause¹.

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