Gangrenous cholecystitis during extracorporeal membrane oxygenation operation: A case report and literature review

Peipei Wu; Shuai Wang; Qiao Gu; Ying Zhu; Wei Hu; Bingwei Liu

doi:10.3389/fmed.2023.1124863

Gangrenous cholecystitis during extracorporeal membrane oxygenation operation: A case report and literature review

Front Med (Lausanne). 2023 Feb 8:10:1124863. doi: 10.3389/fmed.2023.1124863. eCollection 2023.

Authors

Peipei Wu¹, Shuai Wang¹, Qiao Gu¹, Ying Zhu¹, Wei Hu¹, Bingwei Liu¹

Affiliation

¹ Department of Critical Care Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Abstract

A 50-year-old male presented to the emergency department of a hospital with an acute myocardial infarction who underwent cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO). The patient developed persistent jaundice during the course of the disease, which was later found to be gangrenous cholecystitis. We believe this case report will alert clinicians to the possibility of this complication and encourage early detection and intervention to improve the prognosis. Traditionally, the gallbladder has received secondary attention in patients receiving ECMO support, as vital organs tend to be prioritized. However, this case report illustrates the importance of preserving gallbladder function in patients receiving ECMO support.

Keywords: acute myocardial infarction; cardiopulmonary resuscitation; extracorporeal membrane oxygenation; gangrenous cholecystitis; shock.

Publication types

Case Reports