Clinical characteristics of acute cholecystitis with elevated liver enzymes not associated with choledocholithiasis

• DOI: 10.1097/meg.0000000000000053
• Publication Date: 2014-02-11T14:11:28Z
• Authors: Sang Hee Song; Chang-Il Kwon; Sun Mi Jin; Hyun Jung Park; Chul Woon Chung; Sung Won Kwon; Kwang Hyun Ko; Sung Pyo Hong
• Keywords: Etiology

Elevated liver enzymes are observed occasionally in patients with acute cholecystitis who do not have choledocholithiasis. The etiology and mechanism of this phenomenon well known. We aimed to compare the clinical characteristics between without choledocholithiasis elevated enzymes.The medical records underwent cholecystectomy January 2001 October 2011 were retrospectively reviewed. retrieved data showed abnormal endoscopic retrograde cholangiopancreatography, magnetic resonance or intraoperative cholangiography.We analyzed comorbidities 424 patients. Among enzymes, 178 (42%) did 246 (58%) had median AST, ALT, total bilirubin 47, 82.5 IU/dl, 1.21 mg/dl, respectively, 58, 96 1.53 In a multivariate logistic regression analysis, fatty [odds ratio (OR): 0.218; P<0.001], radiologic findings (OR: 0.414; P=0.001), level 1.410; P=0.001) independent predictors choledocholithiasis.Elevated correlated presence severity finding.