Acute emphysematous cholecystitis

May, Roy E.; Strong, Russell W.

doi:10.1002/bjs.1800580614

Cited by 62 publications

(21 citation statements)

References 7 publications

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“…EC is first described by May and Strong in 1971 [1]. EC is a rare variant and a life-threatening form of acute cholecystitis caused by ischemia of the gallbladder wall.…”

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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“…EC is first described by May and Strong in 1971 [1]. EC is a rare variant and a life-threatening form of acute cholecystitis caused by ischemia of the gallbladder wall.…”

Section: Discussionmentioning

confidence: 99%

Acute Emphasematous Cholecystitis

Kassir

2014

J Curr Surg

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“…Gangrene of the gallbladder develops in about 75% of the cases, which leads to perforation in about 20% [2], These facts suggest that an ischemic process is involved in this pro cess. May and Strong [6] observed a narrowing of the blood vessels in the gallbladder in cases of emphysema tous cholecystitis. In a survey of 164 cases reported in the literature until 1975, it was impossible to draw any conclusions regarding the significance of diabetes in this process [2], Diabetes was found in 38% of 136 cases for whom we had to find retrospectively if they suffered from diabetes.…”

Section: Discussionmentioning

confidence: 99%

Hepatic Necrosis – A Rare Complication of Emphysematous Cholecystitis

Eitan¹,

Duek²,

Barzilai³

1989

Dig Surg

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The case presented here is one of emphysematous cholecystitis with process extension through the gallbladder into the liver, necrosis of the liver and septicemia that caused the patient’s death. In the literature that presents cases of emphysematous cholecystitis, the course of the disease is described to be benign, with a death rate of 15 %. In all the cases, the gangrenous and emphysematous process did not extend beyond the gallbladder or, after perforation of the peritoneum, cholecystectomy led to complete recovery. The infectious process caused by Clostridium bacteria is not restricted to the gallbladder. In case of a diagnosis or treatment delay, the infection might penetrate and extend rapidly to the liver and subsequently cause the patient’s death. The possibility of such a process development, in cases of emphysematous cholecystitis is considered a strong argument for emergency surgery, in any suspected case of cholecystitis.

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“…Reported mortality rates of approximately 15% compare with 4.1% for acute cholecystitis [12]. The male-to-female ratio for emphysematous is 3-8:t [12,13]. There is a 20-30% association with diabetes mellitus [13].…”

Section: Case Reportmentioning

confidence: 98%

“…The male-to-female ratio for emphysematous is 3-8:t [12,13]. There is a 20-30% association with diabetes mellitus [13]. Some authors contend that emphysematous cholecystitis, like acute cholecystitis, is due to obstruction of the cystic duct with the ensuing proliferation of gas-forming organisms [11].…”

Section: Case Reportmentioning

confidence: 99%

Emphysematous pyelonephritis with resultant emphysematous cholecystitis secondary to hematogenous dissemination

Lee

Jeffrey

1995

Abdom Imaging

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Both emphysematous pyelonephritis and emphysematous cholecystitis are uncommon, but potentially fatal, clinical entities. The simultaneous diagnosis of these two entities in the same patient has not previously been reported. In this paper, we describe a 68-year-old diabetic male who presented acutely with emphysematous pyelonephritis and emphysematous cholecystitis. This case demonstrates several important diagnostic and treatment considerations. Additionally, the unique circumstances of this case offer support for the proposal that emphysematous cholecystitis may often be secondary to hematogenous seeding/embolic phenomena rather than obstruction of the cystic duct. Prompt diagnosis is essential, as prompt intervention can minimize mortality and morbidity.

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Acute emphysematous cholecystitis

Abstract: The first patient, apart from not presenting for over 2 years, gave a history of trauma prior to the onset of the lesion. In his series of malignant melanoma of all sites, Bodenham (1968) found that 71 per cent I _ _ . .

Cited by 62 publications

References 7 publications

Acute Emphasematous Cholecystitis

Acute Emphasematous Cholecystitis

Hepatic Necrosis – A Rare Complication of Emphysematous Cholecystitis

Emphysematous pyelonephritis with resultant emphysematous cholecystitis secondary to hematogenous dissemination

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