Acute acalculous cholecystitis associated with primary antiphospholipid-antibody syndrome. Cure with low-molecular weight heparin and oral anticoagulants.

We report the first case of acute acalculous cholecystitis associated with primary antiphospholipid-antibody syndrome. The diagnosis was serological a nd was based on positive tests for lupus anticoagulant or anticardiolipin a ntibodies. The treatment was exclusively medical. Cholecystitis was cured w ith low-molecular weight heparin and oral anticoagulants. A rapid diagnosis can prevent lack of therapeutic errors such as surgery antibiotherapy or c orticotherapy, and long-term anticoagulant treatment can be proposed to pre vent recurrent thrombosis.