Emphysematous Cholecystitis Can Cause Pneumoperitoneum

Watson, David I.; Isaacs, John; Williams, Randolph S.

doi:10.1111/j.1445-2197.1994.tb02161.x

Cited by 17 publications

(13 citation statements)

References 4 publications

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“…Gas forming of psoas abscess caused by Klebsiella pneumoniae was present in 5 of 12 patients [4]. The causes of pneumoperitoneum without gastrointestinal perforation are enumerated, e.g., pneumatosis cystoides intestinalis, ruptured hepatic abscess, emphysematous cholecystitis with gallbladder perforation, spontaneous bacterial peritonitis, and perforated pyometra [5][6][7][8][9]. In this case, there are none of the above findings.…”

Section: Discussionmentioning

confidence: 78%

Psoas abscess and bacterial peritonitis caused by urinary tract infection in a patient of liver cirrhosis and diabetes mellitus

Kamikado

Taguchi

Wakiyama

et al. 2009

Clin J Gastroenterol

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Prognosis of patients with diabetes mellitus or liver cirrhosis can be worsened by the development of a variety of infectious diseases. We describe a case of psoas abscess and bacterial peritonitis in a 58-year-old woman with type C liver cirrhosis and diabetes mellitus hospitalized after having an elevated temperature caused by urinary tract infection for 2 months. The cirrhosis had not been treated and daily self-administration of insulin had been discontinued for the previous 5 months. On day 2 of hospitalization, vomiting and decreased blood pressure developed. Abdominal computed tomography scan revealed ascites, pneumoperitoneum, and psoas abscess. Laparotomy revealed psoas abscess and bacterial peritonitis without gastrointestinal perforation and psoas abscess perforation. Surgical drainage of the abscess and peritoneal cavity was performed. Immediately after the operation, upper gastrointestinal bleeding, shock, hypoglycemia, and metabolic acidosis developed, followed by hepatic failure, renal insufficiency, and cerebral dysfunction. Death occurred on postoperative day 19. Upon autopsy, bacterial peritonitis residue of psoas abscess, and urinary tract infection were confirmed. We surmise that untreated liver cirrhosis and diabetes mellitus is a risk for urinary tract infection that may spread in iliopsoas and free peritoneal space.

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Section: Discussionmentioning

confidence: 78%

Psoas abscess and bacterial peritonitis caused by urinary tract infection in a patient of liver cirrhosis and diabetes mellitus

Kamikado

Taguchi

Wakiyama

et al. 2009

Clin J Gastroenterol

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“…In literature, there are few other cases of emphysematous/ gangrenous cholecystitis presented with pneumoperitoneum [6,7]. These patients have some common features: diabetes, upper quadrant abdominal pain (right more than left, and not necessarily with fever), leucocytosis, lithiasic gallbladder and specific bacterial isolation (E. coli, C. perfringens or B. fragilis).…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of a Gangrenous Cholecystitis that Mimics a Bowel Perforation

Occhionorelli¹,

Stano²,

Bonazza³

et al. 2014

SOJS

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“…[1][2][3][4][5] Mostly affects the elderly men (50-70 years of age) with critical illness. Diabetes mellitus is present in 30-50% of cases, and cholelithiasis is present in up to 50%.…”

Section: Discussionmentioning

confidence: 99%

“…Acalculous cholecystitis (ACC) is known to affect diabetic and critically ill adults [1][2][3][4] in their 50s or 70s. Emphysematous cholecystitis (EC) is a unique form of ACC associated with increased morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopy in the management of emphysematous cholecystitis and secondary appendicitis in an 11-year-old child with insulin-dependent diabetes mellitus

Pal

2011

Afr J Paediatr Surg

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Acute abdomen in a diabetic child may cause diagnostic dilemma. Acalculous emphysematous cholecystitis (EC), although reported among critically ill or diabetic adults, is an uncommon occurrence in the children. It may complicate the presentation due to its varied manifestations; especially when associated with other concomitant intra-abdominal inflammatory pathologies. We encountered a rare concurrence of acute EC complicated with pericholecystic fluid collection and secondary appendicitis causing non-specific acute abdomen in an 11-year-old obese boy with insulin-dependent diabetes mellitus. Laparoscopy proved to be a highly useful tool in the diagnosis and treatment of this surgical dilemma.

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Emphysematous Cholecystitis Can Cause Pneumoperitoneum

Abstract: A case of emphysematous cholecystitis with gall‐bladder perforation, resulting in free intraperitoneal gas, is presented. It adds to only nine previous reports. A successful outcome was achieved by early surgery, combined with appropriate antibiotic therapy.

Cited by 17 publications

References 4 publications

Psoas abscess and bacterial peritonitis caused by urinary tract infection in a patient of liver cirrhosis and diabetes mellitus

Psoas abscess and bacterial peritonitis caused by urinary tract infection in a patient of liver cirrhosis and diabetes mellitus

Unusual Presentation of a Gangrenous Cholecystitis that Mimics a Bowel Perforation

Laparoscopy in the management of emphysematous cholecystitis and secondary appendicitis in an 11-year-old child with insulin-dependent diabetes mellitus

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