A Difficult Differential Diagnosis of Acute Cholecystitis in a Patient With Steroid-induced Diabetes

Abstract

An impairment of gallbladder motility due to autonomic neuropa-thy may cause cholestasis and result in gallbladder stone formation. Diabetes is one of risk factors for acute cholecystitis. Diabetes and steroid use are associated with the susceptibility to bacterial infections, we are apt to diagnose steroid-induced diabetic patients manifesting symptoms of cholecystitis as having acute bacterial in-fective cholecystitis. Here, we report a very rare steroid-induced diabetic patient complicated with gallbladder torsion-induced nec-rotizing cholecystitis due to a fl oating gallbladder.