scholarly journals Emphysematous Cholecystitis in a Dog with Damage to the Gallbladder Wall

2020 ◽  
Vol 51 (3+4) ◽  
pp. 41-45
Author(s):  
Hiroya INOUE ◽  
Hiroshi SUNAHARA ◽  
Kenji TANI ◽  
Toshie ISERI ◽  
Hiro HORIKIRIZONO ◽  
...  
Keyword(s):  
Gallbladder Wall ◽  
Emphysematous Cholecystitis

scholarly journals Successful treatment of emphysematous cholecystitis by laparoscopic surgery

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Hitoshi Funahashi ◽  
Tetsuya Komori ◽  
Naoki Sumita
Keyword(s):  
Laparoscopic Surgery ◽  
Acute Cholecystitis ◽  
Rare Variant ◽  
Successful Treatment ◽  
Gold Standard ◽  
Open Cholecystectomy ◽  
Gallbladder Wall ◽  
Emphysematous Cholecystitis ◽  
Bacterial Proliferation ◽  
Calot’S Triangle

Abstract Emphysematous cholecystitis (EC) is a severe and rare variant of acute cholecystitis characterized by ischemia of the gallbladder wall with gas-forming bacterial proliferation. Open cholecystectomy is traditionally the gold standard approach to treatment due to difficulty in isolating Calot’s triangle in the setting of intense inflammation. We present a case of EC successfully and safely treated by laparoscopic surgery.

scholarly journals Emphysematous cholecystitis

2009 ◽  
Vol 22 (4) ◽  
pp. 235-236
Author(s):  
Renato Micelli Lupinacci ◽  
Najim Chafai ◽  
Emmanuel Tiret
Keyword(s):  
Open Cholecystectomy ◽  
Clinical Signs ◽  
Vascular Diseases ◽  
Gallbladder Wall ◽  
White Blood Count ◽  
Emphysematous Cholecystitis ◽  
Reactive Protein ◽  
Threatening Condition ◽  
Life Threatening ◽  
Male Patients

BACKGROUND: Emphysematous cholecystitis is life-threatening condition characterized by gas-forming infection of the gallbladder. It is mostly seems in old male patients with systemic, specially diabetes and vascular diseases. CASE REPORT: - A 30-year-old man without previous diseases was admitted because of right upper quadrant pain and nausea. On admission the patient was febrile (38.7o) with normal bilirubin levels. The white blood count was 26700/µl and reactive protein C was 470. Axial sections of single slice computed tomography imaging (section thickness 5 mm), revealed gallbladder wall enhancement after i.v. contrast, as well as dilatation of the gallbladder with intraluminal air. The patient underwent open cholecystectomy. The culture of the bile showed clostridium perfringes. The postoperative course of the patient was uneventful. CONCLUSION: This is a rare form of cholecystitis that carries a high mortality and usually present insidious clinical signs. CT is the most accurate imaging technique. Antibiotic therapy should begin quickly and include coverage of common pathogens, particularly Clostridia. Surgical intervention should take place as early as possible.

False Negative Sonographic Finding in Emphysematous Cholecystitis

1988 ◽  
Vol 29 (1) ◽  
pp. 137-138
Author(s):  
N. D. Hawass
Keyword(s):  
Abdominal Pain ◽  
Patient Management ◽  
Acute Abdominal Pain ◽  
Ultrasound Examination ◽  
False Negative ◽  
Conventional Radiography ◽  
Gallbladder Wall ◽  
Diagnostic Significance ◽  
Emphysematous Cholecystitis ◽  
Double Contour

Two patients presented with fever and acute abdominal pain. Acute cholecystitis was diagnosed when ultrasound examination showed a double-contour gallbladder wall. Radiography showed gas in the gallbladder wall in both cases, indicating emphysematous cholecystitis. This demonstrated that gas in the gallbladder wall may go undetected by ultrasound at the time when it could still be detected by conventional radiography of the abdomen. Awareness of the value of conventional radiography in these cases has an important diagnostic significance which may affect patient management.

scholarly journals Emphysematous cholecystitis

2002 ◽  
Vol 55 (11-12) ◽  
pp. 529-531 ◽  
Author(s):  
Dragos Stojanovic ◽  
Djordje Lalosevic ◽  
Mirjana Stojanovic ◽  
Zorica Caparevic ◽  
Marija Djosev ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Hyperbaric Oxygenation ◽  
Clinical Status ◽  
Gallbladder Wall ◽  
Preoperative Preparation ◽  
Radiological Findings ◽  
Clostridium Species ◽  
Basic Principles ◽  
Emphysematous Cholecystitis

Introduction Emphysematous cholecystitis is a rare gallbladder pathology characterized by gas accumulation in the gallbladder wall as a result of severe inflammation, mostly caused by bacteria known as Clostridium species. Case report This is a case report of a 59 year-old male diabetic, with typical anamnestic, clinical, ultrasonographic and radiological findings, pointing to acute cholecystitis of emphysematous form. Surgical and bacteriological procedures confirmed the preoperative findings. Conclusion Reliable findings considering clinical status, ultrasonographic and radiological differential diagnosis, adequate and quick preoperative preparation, cholecystectomy and drainage with appropriate antibiotic treatment and hyperbaric oxygenation, represent the basic principles in diagnostics and treatment of this disease.

scholarly journals Early Sonographic Diagnosis of Emphysematous Cholecystitis Successfully Treated With Antibiotics

2016 ◽  
Vol 33 (1) ◽  
pp. 43-46
Author(s):  
Joseph James Tseng ◽  
R. Brooke Jeffrey
Keyword(s):  
Surgical Intervention ◽  
Early Stage ◽  
Secondary Infection ◽  
Open Cholecystectomy ◽  
Gallbladder Wall ◽  
Gallbladder Perforation ◽  
Emphysematous Cholecystitis ◽  
Pericholecystic Abscess ◽  
Emergency Surgical Intervention

Emphysematous cholecystitis (EC) is an uncommon form of acute cholecystitis, caused by secondary infection of the gallbladder wall with gas-forming organisms. The mortality rate of EC is as high as 25% due to complications such as gangrene, gallbladder perforation, pericholecystic abscess, and bile peritonitis. Traditionally, prompt emergency surgical intervention with open cholecystectomy is recommended for EC treatment. This case study of EC was diagnosed at an early stage with sonography and computed tomography and successfully treated by antibiotic treatment alone without surgery. With characteristic findings on sonography such as echogenic reflectors with posterior shadowing, EC is an important entity for sonographers to be able to identify. In the future as imaging with sonography and CT affords earlier diagnosis of EC, antibiotic therapy might be considered for some patients, but more evidence is needed to obtain the same outcome as this particular case.

scholarly journals Current experience with emphysematous cholecystitis

2021 ◽  
Vol 8 (2) ◽  
pp. 463
Author(s):  
Ramiz Iqbal ◽  
Elvina Wiadji
Keyword(s):  
Mortality Rate ◽  
Open Cholecystectomy ◽  
Major Complication ◽  
Gallbladder Wall ◽  
Clinical Event ◽  
Emphysematous Cholecystitis ◽  
Open Conversion ◽  
Adverse Clinical Event ◽  
Co Morbidity ◽  
Laparoscopic Techniques

Background: Emphysematous cholecystitis (EC) is a rare variant of acute cholecystitis with a reported 15-25% mortality rate. Conventionally, EC is managed with an early open cholecystectomy. However, recent advancement in percutaneous intervention and laparoscopic techniques have influenced our management of this biliary pathology. This study reviews the management and outcomes of EC in a regional centre.Methods: Retrospective analysis of a clinical database constituting all patients diagnosed with EC at a regional Australian hospital in NSW from Jan 2010 to July 2019. Inclusion criteria: sepsis, abdominal pain and radiological evidence of gas in the gallbladder wall, lumen, and pericholecystic tissue in the absence of an abnormal connection between the gallbladder and gastrointestinal tract. We investigated patient risk factors, management and outcomes.Results: 16 patients with EC were identified. The mean age of the cohort was 73 years old. The majority of patients had co-morbidity including type 2 diabetes and ischemic heart disease (56 and 62% respectively). Laparoscopic cholecystectomies were performed in 9 patients during their index admissions and 7 patients were managed with PTC. 5 patients required ICU admission for septic shock, and all were managed with PTC drain placement. The overall mortality rate was 6%.Conclusions: Laparoscopic cholecystectomy on index admission is the treatment of choice for EC. Although more technically challenging, adverse clinical event including major complication and open conversion was avoided in our cohort while percutaneous cholecystostomy was reserved for unstable and poor surgical candidate.

EUS is necessary for differential diagnosis in patients with Suspicious Gallbladder Wall Lesions

Endoscopy ◽  
2006 ◽  
Vol 39 (S 1) ◽  
Author(s):  
SH Lee ◽  
SM Woo ◽  
JW Yoo ◽  
JK Park ◽  
JK Ryu ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Gallbladder Wall ◽  
Wall Lesions

scholarly journals Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Manouchehr Aghajanzadeh ◽  
Mohammad Taghi Ashoobi ◽  
Hossein Hemmati ◽  
Pirooz Samidoust ◽  
Mohammad Sadegh Esmaeili Delshad ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Biliary Obstruction ◽  
Abdominal Ultrasound ◽  
Sporadic Case ◽  
Gallbladder Wall ◽  
Liver Cyst ◽  
Biliary Duct ◽  
Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

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