Emphysematous cholecystitis: Figure 1:

Carrascosa, Miguel F; Salcines-Caviedes, José R.

doi:10.1503/cmaj.110601

Cited by 30 publications

(30 citation statements)

References 2 publications

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“…[ 14 ] The symptoms of EC are almost identical with those of acute cholecystitis, right upper quadrant pain, fever, vomiting, and jaundice, but EC begins as acute cholecystitis, then develops into ischemia and gangrene in the gallbladder wall with gas encircling the gallbladder due to gas-forming organisms, including E coli, Clostridium welchii , Perfringens, Klebsiella , and Streptococci . [ 1 , 3 , 7 , 15 , 16 ] Hence, gas encircling the gallbladder or air within the gallbladder becomes the typical presentation of EC from the CT-scan. [ 3 , 14 ] Of courses, ultrasonography (USG) and plain radiography can also be used for the diagnosis of EC.…”

Section: Discussionmentioning

confidence: 99%

Emphysematous cholecystitis in a young male without predisposing factors

Chen

Chen²,

Wang³

et al. 2016

Medicine

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This report describes the diagnosis and treatment for Emphysematous cholecystitis (EC) without predisposing factors, and reviews the current literature.A 49-year-old male without predisposition presented to emergency department with a two-day history of sudden onset abdominal pain, hypertension and received empirical antibiotics with Imipenem/Cilastatin 0.5 g via intravenous route every 8 hours. Computed tomography (CT)-scan revealed that air encircling gallbladder is the most important and accurate evidence for EC diagnosis.Laparoscopic cholecystectomy was performed, and no stone was seen in gallbladder.The patient's temperature and pulses returned to normal following laparoscopic cholecystectomy. The festering bile culture report showed E.coli and pathological analysis of the resected gallbladder disclosed that necrosis and mild mucosal dysphasia. The patient fully recovered without complication at outpatient clinic visit three months later.The EC is an acute infection of the gallbladder wall caused by gas-forming organisms, is a life-threatening cholecystitis with mortality rate as high as 25%. Therefore, the combination of laparoscopic cholecystectomy and antibiotics is recommended as soon as possible once the diagnosis of EC was a clean-cut.

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Section: Discussionmentioning

confidence: 99%

Emphysematous cholecystitis in a young male without predisposing factors

Chen

Chen²,

Wang³

et al. 2016

Medicine

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“…Its pathophysiology differs from cholecystitis caused by abnormal biliary-enteric communication (ie, gallstones) 1 2. Emphysematous cholecystitis occurs as a consequence of ischaemic injury to the gallbladder 2 3. The main predisposing factors are atherosclerosis, systemic hypoperfusion, arterial embolism and vasculitis.…”

Section: Discussionmentioning

confidence: 99%

“…The main predisposing factors are atherosclerosis, systemic hypoperfusion, arterial embolism and vasculitis. Emphysematous cholecystitis is also associated with diabetes mellitus 3. Ischaemic necrosis is followed by translocation of gas-forming bacteria and subsequent accumulation of gas in the wall and the lumen of the gallbladder 2…”

Section: Discussionmentioning

confidence: 99%

“…The mortality associated with emphysematous cholecystitis is higher than in non-emphysematous cholecystitis (15% vs 4%) 2 3. Therefore, early diagnosis with radiological imaging, such as CT, is of vital importance—given the non-specific findings in physical examination and laboratory testing—and the characteristic findings in radiological examination 4.…”

Section: Discussionmentioning

confidence: 99%

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An 86-year-old man with acute abdominal pain

Dam

Posthouwer

2016

BMJ Case Reports

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SUMMARYAn 86-year-old man presented with severe pain in the upper abdomen along with fever. On physical examination, we found an arterial blood pressure of 84/ 43 mm Hg, a heart rate of 80 bpm and a temperature of 38.3°C. The abdomen was painful and peristalsis was absent. Empiric antibiotic therapy for sepsis was started with amoxicillin/clavulanate and gentamicin. CT scan of the abdomen revealed an emphysematous cholecystitis. Percutaneous ultrasound-guided cholecystostomy was applied. Bile cultures revealed Clostridium perfringens. Emphysematous cholecystitis is a life-threatening form of acute cholecystitis that occurs as a consequence of ischaemic injury to the gallbladder, followed by translocation of gas-forming bacteria (ie, C. perfringens, Escherichia coli, Klebsiella and Streptococci). The mortality associated with emphysematous cholecystitis is higher than in non-emphysematous cholecystitis (15% vs 4%). Therefore, early diagnosis with radiological imaging is of vital importance. BACKGROUND

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“…Complications of cholecystitis such as choledocholithiasis, cholangitis, and emphysematous cholecystitis are also much more common in the elderly [48]. Due to the poor vascularity of the gallbladder, the elderly are at increased risk of perforation and emphysematous cholecystitis [51] (Figure 8). It is important to consider these complications and act expeditiously.…”

Section: Miscellaneous Causes Of Abdominal Painmentioning

confidence: 99%

Abdominal emergencies in the geriatric patient

et al. 2014

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Abdominal pain is one of the most frequent reasons that elderly people visit the emergency department (ED). In this article, we review the deadliest causes of abdominal pain in this population, including mesenteric ischemia, abdominal aortic aneurysm, and appendicitis and potentially lethal non-abdominal causes. We also highlight the pitfalls in diagnosing, or rather misdiagnosing, these clinical entities.

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Emphysematous cholecystitis: Figure 1:

Cited by 30 publications

References 2 publications

Emphysematous cholecystitis in a young male without predisposing factors

Emphysematous cholecystitis in a young male without predisposing factors

An 86-year-old man with acute abdominal pain

Abdominal emergencies in the geriatric patient

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