Cholecystitis secondary to Salmonella typhi: a rare pathology with an unreported management option—a case report and literature review

Abstract Background This report describes the presentation and course of treatment for one youngest reported cases empyema gallbladder. Given rare occurrence this disease process, we elected to proceed with a systematic review literature. is only 7th case series discussing pediatric gallbladder due Salmonella typhi in literature, second ever USA. Case We previously healthy 13-month-old girl who presented diffuse peritonitis equivocal imaging studies. Diagnostic laparoscopy revealed purulent peritonitis. The was distended intraluminal pus. Laparoscopy converted laparotomy facilitate exposure, cholecystostomy tube placed. Cultures from fluid were positive . patient received 14-day intravenous Ceftriaxone followed by 14 days oral amoxicillin clavulanate. A cholangiogram performed 8 weeks after surgery confirmed normal biliary anatomy. removed. recovered uneventfully doing well over 9 months later. Conclusion There no consensus on options ranging medical management antibiotic therapy more invasive procedures such as or cholecystectomy. Less are an alternative cholecystitis.