A Case Report on Management of Acute Cholecystitis in a Covid-19 Patient

Abstract

Cholecystitis is infection of the gallbladder. Gallbladder is a small, pear-shaped organ at the right facet of your stomach, below your liver. The gallbladder holds a digestive fluid it is launched into small gut (bile). In maximum instances, gallstones blocking the tube leading out of  gallbladder cause cholecystitis. This consequences in a bile buildup that may cause infection. Different result of cholecystitis consist of bile duct issues, tumors, extreme illness and certain infections. If left untreated, cholecystitis can result in critical, sometimes life-threatening headache, which include a gallbladder rupture. Treatment for cholecystitis often involves gall bladder removal. The epidemic had a huge impact all across the world, particularly in our national hospital system, with the Community of Madrid being the hardest hit. The pandemic has had a significant impact, resulting in a 50% reduction in emergency surgical interventions. Clinical finding: severe pain in upper right quadrant since 1 month, fever, tenderness over the abdomen, nausea, vomiting and pain that spreads to shoulder and back since 1 month, shortness of breath, cough. Diagnostic evaluation: abdominal x-ray, blood test, abdominal usg, serum bilirubin and liver enzyme. Therapeutic intervention: Patient was treated with antibiotic, analgesics, I.V. fluid, oxygen therapy, procedure done endoscopic retrograde cholangiopancreatography (ERCP) was done. Outcome: Patient general condition was improved. Conclusion: Timely immediate treatment was started by health team member and all possible treatment was given and patient condition was improved.