Gaseous Pericholecystitis With Cholecystitis and Cholelithiasis

Hegner, Casper F.

doi:10.1001/archsurg.1931.01160060121007

Cited by 50 publications

(10 citation statements)

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“…The diagnosis is typically suspected when plain films show the lucent outline of gas in the gallbladder lumen, its wall, or adjacent tissues or biliary ducts [4]. The differential diagnosis includes incompetent sphincter of Oddi, intestinal-biliary anastomosis, biliary intestinal fistula, duodenal ulcer perforation into the bile duct, and lipomatosis [2,5].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of emphysematous cholecystitis by computerized tomography

Poleynard

Harris

1979

Gastrointest Radiol

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Section: Discussionmentioning

confidence: 99%

Diagnosis of emphysematous cholecystitis by computerized tomography

Poleynard

Harris

1979

Gastrointest Radiol

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“…The first radiographic diagnosis of emphysematous cholecystitis was established in 1931 by Henger [1], Un til 1974 a total number of 164 cases was described [2] and since then only a very small number [3][4][5] of cases were added. The diagnosis is based on air presentation in the gallbladder cavity, in the gallbladder wall as well as on the tissues surrounding it, or else gas in the bile ducts when there is no evidence of gastrobiliary fistula.…”

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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“…In man, emphysematous cholecystitis was described in 19084 and first identified radiographically in 193 1 . 5 A review published in 1971 revealed only 120 case reports of emphysematous cholecystitis in nondiabetic patients, but the reviewers stated that the disease might be more common than reported. 6 The most common precipitating factor is believed to be obstruction of the cystic duct, most frequently by a stone.'…”

Section: Discussionmentioning

confidence: 99%

Emphysematous Cholecystitis in the Nondiabetic Dog: Three Case Histories

Burk¹,

Johnson

1980

Veterinary Radiology

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Emphysematous cholecystitis not associated with diabetes mellitus was diagnosed in three dogs. All three dogs were examined because of vomiting. Neutrophilia, elevated serum alkaline phosphatase, and normal serum glucose were present in each animal. A gas-filled gallbladder and pericholecystic gas were seen radiographically in all three dogs; a cholecystolith was present in one dog. A cholecystectomy was performed on two dogs. Cultures of bacteria from these two bladders revealed Clostridium sp. One of these dogs was euthanized because of acute renal tubular necrosis that was diagnosed after ten days of treatment with gentamicin. The second dog recovered without incident. The third dog was treated successfully with antibiotics.

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Gaseous Pericholecystitis With Cholecystitis and Cholelithiasis

Cited by 50 publications

References 1 publication

Diagnosis of emphysematous cholecystitis by computerized tomography

Diagnosis of emphysematous cholecystitis by computerized tomography

Hepatic Necrosis – A Rare Complication of Emphysematous Cholecystitis

Emphysematous Cholecystitis in the Nondiabetic Dog: Three Case Histories

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