Asymptomatic emphysematous cholecystitis

Abstract

Emphysematous cholecystitis (EC) is a life-threatening complication of acute cholecystitis. Its clinical manifestations are usually vague, but asymptomatic cases are very rare. We present such a case with an emphasis on sonographic (US) findings. In this case, detection of gas echoes in the gallbladder wall and the surrounding hepatic tissue led us to an appropriate treatment. US is now the technique of first choice for diagnosing gallbladder diseases, and knowledge of US findings encountered in this case can help prevent a hazardous delay in emergent treatment.

Case Report: Imaging Features of Gallbladder Sessile Polyp Confirmed by Contrast-Enhanced Ultrasonography and Dynamic Computed Tomography in a Dog With Asymptomatic Chronic Cholecystitis

“…Herein, chronic cholecystitis did not cause clinical signs, and blood tests were normal except for leukocytopenia. In humans, there are case reports of asymptomatic gangrenous cholecystitis and emphysematous cholecystitis (16,17). However, CEUS and dynamic CT provide good imaging for the GB sessile polyps; thus, they could help diagnose asymptomatic polypoid chronic cholecystitis.…”