Simultaneous emphysematous cholecystitis and emphysematous pancreatitis: a case report

Choi, Hee Seok; Lee, Yong Seok; Park, Sung Bin; Yoon, Yup

doi:10.1016/j.clinimag.2007.12.009

Cited by 10 publications

(11 citation statements)

References 8 publications

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“…EC should be considered as a possible cause of soft tissue gas gangrene [9]. Simultaneous occurrence of EC and emphysematous pancreatitis is an exceptional and potentially fatal combination [10].…”

Section: Discussionmentioning

confidence: 99%

Acute Emphasematous Cholecystitis

Kassir

2014

J Curr Surg

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Emphysematous cholecystitis (EC) is an uncommon variant of acute cholecystitis and can be rapidly lethal. We report an extremely rare case of EC and we present the imaging features of this patient. An 80-year-old male presented with epigastric pain and fever. Abdominal computed tomography confirmed the presence of an air-liquid level in the gallbladder lumen, gas within the gallbladder and in its walls. Emergency open cholecystectomy revealed necrotic changes in the gallbladder. The patient's postoperative course was uneventful. The mortality associated with non-emphysematous is 4% compared with 15% for EC due to the increased incidence of gallbladder wall gangrene and perforation. The pathophysiology of EC differs from that in acute calculous cholecystitis. Diagnosis is established when the CT scan reveals gas within the gallbladder or in its walls in the absence of an abnormal communication between the gastrointestinal tract and the biliary system. The standard treatment is emergent cholecystectomy and antibiotic therapy. It could conclude that surgeons should be aware of the existence of this kind of atypical presentation of cholecystitis. EC is a rare condition in which the abdominal computed tomograph proves to be a most useful tool. It is important to differentiate this rare pathologic feature of the gall bladder from other cholecystitis as the treatment is surgical rather than medical.

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Section: Discussionmentioning

confidence: 99%

Acute Emphasematous Cholecystitis

Kassir

2014

J Curr Surg

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“…EC is a rare, but severe, form of acute cholecystitis caused by gas-forming organisms. Most of the patients are aged 50-70 years, and approximately 50% of them have diabetes mellitus and peripheral vascular disease 2 . Unlike acute cholecystitis, males are affected by EC more often than women 3 .…”

Section: Discussionmentioning

confidence: 99%

Case of emphysematous cholecystitis in a patient with type 2 diabetes mellitus associated with schizophrenia

Ogawa¹,

Shikata

Uchida³

et al. 2012

J of Diabetes Invest

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Emphysematous cholecystitis is a rare, but life-threatening, form of acute cholecystitis caused by gas-forming organisms in the gallbladder. A 73-year-old male patient with type 2 diabetes mellitus complicated with neuropathy associated with schizophrenia was admitted to Okayama University Hospital, Okayama, Japan, because of a high fever and general malaise. On the fourth hospital day, despite normal liver function tests and little abdominal pain, his abdominal computed tomography showed huge gas formation in the gallbladder lumen along with a dilated gallbladder with a thickened wall, consistent with emphysematous cholecystitis. The patient underwent an emergency open cholecystectomy. Few abdominal symptoms appeared because of the hyposensitivity to pain caused by not only diabetic neuropathy, but also antipsychotic agents the patient was taking for schizophrenia. Emphysematous cholecystitis should be taken into consideration for the differential diagnosis of high fever in diabetic patients with schizophrenia, irrespective of the level of liver function tests and clinical symptoms. (J Diabetes Invest,

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“…Cholecystitis is treated in a similar way but antibiotics must be administered from the very start. When necessary, percutaneous CT or US guided aspiration or drainage will be performed (3,8,(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Exceptional, potentially fatal combination of emphysematous pancreatitis and gas-forming cholecystitis: successful multi - disciplinary conservative treatment supported by repeated ctstaging

Verbeeck¹,

Hartmann²,

Weber

et al. 2011

Journal of the Belgian Society of Radiology

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Usually considered as a life-threatening disease, emphysematous pancreatitis requires early diagnosis and aggressive multidisciplinary treatment including the Departments of Gastroenterology, Intensive Care Medicine, Interventional Radiology and even Surgery. The prognosis for emphysematous cholecystitis is also quite poor. It requires surgery even if a percutaneous cholecystostomy can contribute to a temporary stabilization of the patient. Computed tomography is the imaging modality of choice to detect emphysematous pancreatitis and gas-forming cholecystitis. It enables their grading and helps identify their complications. Moreover, it proves essential in the follow-up of the lesions.

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Simultaneous emphysematous cholecystitis and emphysematous pancreatitis: a case report

Cited by 10 publications

References 8 publications

Acute Emphasematous Cholecystitis

Acute Emphasematous Cholecystitis

Case of emphysematous cholecystitis in a patient with type 2 diabetes mellitus associated with schizophrenia

Exceptional, potentially fatal combination of emphysematous pancreatitis and gas-forming cholecystitis: successful multi - disciplinary conservative treatment supported by repeated ctstaging

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