Ischemic colitis and acalculous necrotizing cholecystitis as rare manifestations of cholesterol emboli in the same patient.

A case is reported of a patient with ischemic colitis and acalculous necrotizing cholecystitis, rare manifestations of cholesterol emboli in one patient. Cholesterol emboli are often encountered at autopsy, suggesting that such abnormalities frequently are missed during life time, as happened initially in our patient. We conclude that multisystemic disease in elderly patients can be due to cholesterol emboli. The sooner the diagnosis is made, the more beneficial prophylactical measures will be.