Acute acalculous cholecystitis as a presenting feature of neurotoxic snake bite: a case report and review of literature


  • Chitralekha A. Nayak Department of Medicine, Goa Medical College, Goa, India
  • Akshay S. Naik Department of Medicine, Goa Medical College, Goa, India
  • Edwin Gomes Department of Medicine, Goa Medical College, Goa, India



Acalculous cholecystitis, Antisnake venom, Neurotoxic snake bite, Phospholipase A2


Snakebite is classified by the WHO as a neglected tropical disease. Neurotoxic snake bites pose a great diagnostic challenge to the physicians in tropical and subtropical regions of the world. There is considerable variation between individual patients in the clinical manifestations following envenoming by neurotoxic snake bite. Here authors describe a rare case who presented to emergency department as acute acalculous cholecystitis following unknown neurotoxic snake bite. This acalculous cholecystitis resolved post administration of anti-snake venom. The possibility of this rare but potentially fatal complication needs to be considered in patients with snake bite and abdominal symptoms so that prompt management can prevent mortality in such patients.



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Case Reports