Acute gaseous cholecystitis

Bigler, F.

doi:10.1016/0002-9343(60)90016-4

Cited by 14 publications

(6 citation statements)

References 27 publications

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“…welchii septicaemia are rare and those recorded are set out in (Bigler, 1960). McKibbin and Parks (1974) emphasized the importance of demonstrating gas in the gallbladder on a straight X-ray of of the abdomen which is usually evident within 24-48 hours of the onset of symptoms.…”

Section: Discussionmentioning

confidence: 99%

Fatal Clostridium welchii septicaemia following acute cholecystis

Clancy¹,

O'Briain²

1975

Journal of British Surgery

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Section: Discussionmentioning

confidence: 99%

Fatal Clostridium welchii septicaemia following acute cholecystis

Clancy¹,

O'Briain²

1975

Journal of British Surgery

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“…However, we would agree with the policy advocated by Berk and Monroe (1965), namely, that if the patient's condition can be improved, and there are no compelling reasons not to operate, surgical intervention with a view toward cholecystectomy is advisable. Schein (1972) (Bigler, 1960;Marshall and Hartzog, 1964;Sarmiento, 1966 …”

Section: Managementmentioning

confidence: 99%

“…Twenty to 30%°of cases have been found to suffer from diabetes mellitus (Edinburg and Geffen, 1958;Marshall and Hartzog, 1964). In a collected group of seventy-three cases a mass was palpable at some stage in almost half and jaundice was present in about a quarter of the patients (Bigler, 1960). Over half of the patients have pyrexia in the range 100-1020F, and over 90%4 of cases develop a considerable leucocytosis.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…A wide variety of organisms have been recovered in reported cases of emphysematous cholecystitis, but at least 50%°of cultures revealed a growth of one of the Clostridia (Bigler, 1960). Escherichia coli, Proteus vulgaris, Aerobacter aerogenes, non-haemolytic Streptococcus, Staphylococcus and Klebsiella have also been found.…”

Section: Pathogenesismentioning

confidence: 99%

“…However, with evidence of spreading peritonitis, surgical intervention is indicated. This condition has been associated with a high overall mortality, of the order of 10-25% in several collected series (Bigler, 1960;Marshall and Hartzog, 1964;Sarmiento, 1966). More frequent early surgical intervention with antibiotic cover might conceivably lead to a reduction in this figure.…”

Section: Managementmentioning

confidence: 99%

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Acute emphysematous cholecystitis

McKibbin

Parks

1974

Postgraduate Medical Journal

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A case of emphysematous pyelonephritis

Mosley

1973

Journal of British Surgery

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EMPHYSEMATOUS pyelonephritis is an unusual condition i n which there is gas within the renal parenchyma, or sometimes within the pyelocaliceal collecting system. T h e diagnosis is made radiologically (Bliznak and Ramsey, 1972). Thirty-five cases have been reported in the literature, all of whom had diabetes mellitus or an obstruction to urinary outflow (Costas, 1972).T h e present fatal case illustrates this condition and demonstrates the rapid way in which it may develop. CASE REPORTJ. H., a 42-year-old woman, was admitted as an emergency in a semiconscious state. The relatives gave a history of several months' duration of malaise, urinary frequency, and intermittent burning pains in the feet. Five days prior to admission she had had rigors and nausea; left kidney at the age of 7 years. She had been treated for syphilis when she was 26 years old.The patient looked dehydrated and was drowsy and disorientated, though able to obey simple commands.There was a left paramedian scar. A large tender mass was present in the right renal area. The oral temperature was 37.8" C., sinus tachycardia 140 per minute, and blood-pressure 70/50.Laboratory data on admission included : blood-urea, 185 mg. per IOO ml.; serum sodium, 130 mEq./l.; serum potassium, 5.4 mEq./l.; serum chloride, 85 mEq./l.; blood-sugar, 650 mg. per IOO ml., with a metabolic acidosis; haemoglobin, I 1'2 g. per IOO ml.; white-blood count, 10,000 per mm.3 Blood and urine cultures taken on admission both grew Escherichia coli. The patient was rehydrated and started on kanamycin at a reduced dosage in view of her renal failure (Mawer, Knowles, Lucas, Stirland, and Tooth, 1972;Mawer, Lucas, and McGough, 1972). The diabetes was controlled with soluble insulin.The day after admission the patient remained severely hypotensive and had become anuric with a rapidly rising blood-urea, which was now 380 mg. per IOO ml. She had developed neck stiffness and a positive Kernig's sign. Cerebrospinal fluid obtained by lumbar puncture contained 180 polymorphonuclear cells per mm.3 Plain abdominal radiographs showed multiple gas shadows in the right renal area, and many small opacities in the gluteal region.An abdominal tomogram 3 days after admission (Fig. I) showed evidence of a considerable amount of gas within the right kidney.Peritoneal dialysis was commenced to control the uraemia, and blood was transfused to maintain a central FIG. right renal tomogram demonstrating air within the renal subsrance. FIG. 2.-Interior of the right kidney.she had become increasingly weak. Immediately before venous pressure of + 4 cm. The haemoglobin had admission she had become disorientated and confused. dropped to 9.3 g. per IOO ml., with a platelet count of There was no family history of diabetes mellitus or 18,000 mm.3, and coagulation studies demonstrated renal disease. The patient had had an operation on the intravascular coagulation. controlled. The blood-pressure remained low (about The patient's general condition remained grave although 90 mm. Hg systolic pressure) and there was ev...

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Acute gaseous cholecystitis

Cited by 14 publications

References 27 publications

Fatal Clostridium welchii septicaemia following acute cholecystis

Fatal Clostridium welchii septicaemia following acute cholecystis

Acute emphysematous cholecystitis

A case of emphysematous pyelonephritis

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