Various Presentations Of Gangrenous Cholecystitis And Review Of Literature

Gangrenous cholecystitis (GC) is a complicated variant of acute cholecystitis. It can present with varied signs and symptoms, from biliary colic to gallbladder perforation. A high index of suspicion is required to diagnose this condition in the high-risk group to avoid morbidity. Herein we report two cases of gangrenous cholecystitis with unusual presentations: A 56-year-old male had a history of a single episode of right upper abdominal pain one month back, suggestive of GSD, and elective cholecystectomy was done. Histopathology revealed gangrenous cholecystitis. A 58-year-old female presented with signs and symptoms suggestive of perforation peritonitis for one day. Emergency laparotomy showed gangrenous patches on the gallbladder wall, cholecystectomy was done and histopathology revealed gangrenous cholecystitis. So, in case of acute cholecystitis and in the presence of risk factors, gangrenous cholecystitis should be one of the differential diagnoses in order to avoid serious complications.