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Asian J Pain > Volume 4(1); 2018 > Article
Asian Journal of Pain 2018;4(1):19-24.
DOI: https://doi.org/10.35353/ajp.4.1.19    Published online May 30, 2018.
Acute Cholecystitis after Operative Treatment of Compression Fracture in the Thoracolumbar Junction Area: A Report of Two Cases
Seon Yong Son, Pyunggoo Cho, Kwang-Chun Cho, Seong-Han Oh
Department of Neurosurgery, Bundang Jesaeng General Hospital, Sungnam, Korea
Correspondence:  Pyunggoo Cho, Tel: +82-31-779-6500, Fax: +82-31-779-6507, 
Email: nsdrcpg@gmail.com
Abstract
The causes of postoperative acute cholecystitis are mainly bloodstream infections, stasis of bile juice due to immobilization, or highly viscid bile caused by dehydration. Postoperative acute cholecystitis is not a rare complication after gastrointestinal or orthopedic operations. We describe patients in whom the etiology of postoperative acute cholecystitis was unclear. The two patients underwent kyphoplasty and percutaneous pedicle screw fixation to treat compression fractures in the thoracolumbar (T-L) junction. After reviewing these two cases, it was difficult to confirm whether postoperative cholecystitis was due to immobilization, dehydration, or infection. We assumed that the cause of acute cholecystitis was damage of the sympathetic or parasympathetic chain around the T-L junction.
Key Words: Fractures; Compression; Cholecystitis; Acute; Autonomic nervous system
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