Acute cholecystitis following total knee replacement
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Acute cholecystitis is an important postoperative complication and is considered a surgical emergency. Although not uncommon, it is relatively unknown to orthopedic surgeons and only a few cases have been reported in the orthopedic literature. Postoperative cholecystitis should be promptly recognized because it is a life-threatening complication, with mortality ranging from 10% to 50%. The development of right upper quadrant abdominal pain associated with fever, tachycardia, and signs of peritoneal irritation after any major orthopedic procedures like arthroplasty, spinal fusions and others should alert the surgeon to the possibility of postoperative cholecystitis. Cholecystectomy is the treatment of choice considering the high incidence of gangrene and perforation of the gallbladder. Here, we present a patient who underwent unilateral total knee arthroplasty and subsequently developed acute cholecystitis, necessitating urgent surgical intervention.

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