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Carlo Iannuzzi, MD; Jacques Belghiti, MD; Serge Erlinger, MD; Yves Menu, MD; François Fékété, MD

Arch Surg. 1990;125(9):1211-1213.

Abstract
• Four patients with acquired immunodeficiency syndrome developed severe abdominal pain and fever due to acute acalculous cholecystitis. In all patients, preoperative laboratory data showed elevation of alkaline phosphatase and -glutamyltransferase levels. Endoscopic or intraoperative cholangiography showed signs of intrahepatic and extrahepatic cholangitis. Cholecystectomy was performed and prompt relief of symptoms was achieved in all patients; no postoperative complication was observed. One patient did not develop any recurrence during an 18-month period of follow-up; two patients died 2 and 3 months after the operation. One patient developed recurrent abdominal pain and cholestasis 4 months after the operation, with dilatation of the common bile duct and papillary stenosis due to progression of cholangitis. These observations suggest that cholangitis is frequently associated with cholecystitis in patients with the acquired immunodeficiency syndrome. Its pathogenesis is not known.

(Arch Surg. 1990;125:1211-1213)

Author Affiliations
From the Digestive Surgery Service, Hepatology Service, Hepatic Physiopathology Research Unit (INSERM, U-24), and Radiology Service, University of Paris VII, Hôpital Beaujon, Clichy, France.

Footnotes
Accepted for publication February 12, 1990.

Reprint requests to Hôpital Beaujon, 92118 Clichy cédex, France (Dr Belghiti).

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