390 results match your criteria Emphysematous Cholecystitis


Successful treatment of emphysematous cholecystitis by laparoscopic surgery.

J Surg Case Rep 2021 Mar 25;2021(3):rjab080. Epub 2021 Mar 25.

Division of Surgery, JA Mie Inabe General Hospital, Inabe, Japan.

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. Read More

View Article and Full-Text PDF

A Rare Ultrasonographic Finding of Emphysematous Cholecystitis: The Champagne Sign.

J Emerg Med 2021 Feb 24. Epub 2021 Feb 24.

Department of Emergency Medicine, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.

Background: Emphysematous cholecystitis (EC) is a form of cholecystitis with high mortality rates more commonly seen in patients with medical histories such as diabetes, hypertension, and peripheral vascular disease. The common features of these medical diseases are impaired pain perception, particularly abdominal pain, due to advanced age and peripheral neuropathies. Accurate evaluation of characteristics observed at ultrasonography, the method of first choice in the diagnosis of EC, is therefore highly important in these patients. Read More

View Article and Full-Text PDF
February 2021

Emphysematous Cholecystitis: A Phytotic Disease from an Emerging Pathogen, .

Surg Infect (Larchmt) 2021 Feb 16. Epub 2021 Feb 16.

Department of General Surgery, Tan Tock Seng Hospital, Singapore.

View Article and Full-Text PDF
February 2021

Gas Where It Shouldn't Be! Imaging Spectrum of Emphysematous Infections in the Abdomen and Pelvis.

AJR Am J Roentgenol 2021 03 13;216(3):812-823. Epub 2021 Jan 13.

Department of Radiology, Ohio State University Wexner Medical Center, Columbus, OH.

The purpose of this article is to review the spectrum, etiopathogenesis, clinical presentation, imaging features, differential diagnoses, and management of emphysematous infections of the abdomen and pelvis. Emphysematous infections are associated with high morbidity and mortality and thus need urgent medical and surgical interventions. CT is the most sensitive modality to detect gas; CT provides definitive diagnosis in most cases and can depict the extent of involvement. Read More

View Article and Full-Text PDF

Emphysematous cholecystitis during the treatment of heat stroke.

Acute Med Surg 2020 Jan-Dec;7(1):e613. Epub 2020 Dec 12.

Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan.

Background: During a heat stroke, microvascular injury may occur as a result of thermal damage and systemic hypoperfusion. We present a case of an older woman who experienced emphysematous cholecystitis during a treatment of heat stroke.

Case Presentation: A 91-year-old woman presented unconscious with a blood pressure, pulse, and core temperature of 73/48 mmHg, 135 bpm, and 39. Read More

View Article and Full-Text PDF
December 2020

Response to «Emphysematous cholecystitis in suspected SARS-CoV-2 infection».

Cir Esp 2021 02 28;99(2):167-168. Epub 2020 Oct 28.

Servicio de Cirugía General y del Aparato Digestivo, Hospital de Baza, Baza, Granada, España.

View Article and Full-Text PDF
February 2021

Septic shock with emphysematous cholecystitis and disseminated infection caused by hypervirulent Klebsiella pneumoniae capsular genotype K2-ST65 in a Japanese man with diabetes mellitus: A case report.

J Infect Chemother 2021 Feb 30;27(2):350-353. Epub 2020 Sep 30.

Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, Japan.

Hypervirulent Klebsiella pneumoniae capsular genotypes K1 and K2 are common pathogens responsible for community-acquired liver abscesses and invasive infections especially in East Asia. We report a Japanese man with diabetes mellitus who rapidly developed emphysematous cholecystitis and fulminant disseminated infection with life-threatening multiple organ-system failure due to K. pneumoniae K2 strains belonging to sequence type 65. Read More

View Article and Full-Text PDF
February 2021

Emphysematous Cholecystitis and Necrotizing Pancreatitis: Unusual Combination of Critical Pathology in a Healthy Young Patient.

Cureus 2020 Aug 18;12(8):e9843. Epub 2020 Aug 18.

Surgery, Weill Cornell Medical School, Doha, QAT.

Emphysematous cholecystitis (EC) is a rare form of severe cholecystitis, more common among old, frail males, with comorbidities like diabetes mellitus and peripheral vascular disease. The coexistence of emphysematous cholecystitis with necrotizing pancreatitis is extremely uncommon and in the literature, though it has been reported, no case was of a young patient like the one we are describing. He was treated with laparoscopic cholecystectomy, and his pancreatitis managed conservatively. Read More

View Article and Full-Text PDF

Emphysematous Cholecystitis: A Brief Report Demonstrating the Pertinence of Timely Diagnosis.

Am Surg 2020 Nov 31;86(11):1580-1581. Epub 2020 Jul 31.

Department of Surgery, St. Joseph Mercy Oakland Hospital, Pontiac, MI, USA.

View Article and Full-Text PDF
November 2020

Emphysematous cholecystitis: A rare complication.

Gastroenterol Hepatol 2020 Nov 20;43(9):522-523. Epub 2020 May 20.

Departament of Internal Medicine, Centro Hospitalar e Universitário da Cova da Beira, Covilhã, Portugal.

View Article and Full-Text PDF
November 2020

Emphysematous cholecystitis following routine colonoscopy.

J Surg Case Rep 2020 Apr 29;2020(4):rjaa091. Epub 2020 Apr 29.

Department of Surgery, Tamworth Rural and Referral Hospital, Tamworth, New South Wales, Australia.

Cholecystitis is a rare sequela of colonoscopy, the relationship between which has not yet been defined. This case study reviews a rural elderly patient who developed right upper quadrant pain following routine colonoscopy. He developed emphysematous cholecystitis, which required laparoscopy with conversion to open via Kocher's incision and underwent a subtotal cholecystectomy due to the severity of necrosis and inflammation. Read More

View Article and Full-Text PDF

Safety and Efficacy of Percutaneous Cholecystostomy for Emphysematous Cholecystitis.

J Clin Imaging Sci 2020 27;10. Epub 2020 Mar 27.

Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.

Objective: The objective of the study was to evaluate the safety and efficacy of percutaneous cholecystostomy (PC) in treating critically ill patients with emphysematous cholecystitis who were deemed poor surgical candidates.

Materials And Methods: The Institutional Review Board exemption was obtained for this retrospective study. Patients with emphysematous cholecystitis who were deemed to be poor operative candidates by the treating surgeon and underwent PC placement between May 2008 and April 2017 at a single institution were identified through a medical records search. Read More

View Article and Full-Text PDF

An Important Gallbladder Pathology Mimicking Gallbladder Carcinoma: Xanthogranulomatous Cholecystitis: A Single Tertiary Center Experience.

Surg Laparosc Endosc Percutan Tech 2020 Jun;30(3):285-289

Ministry of Health, University of Health Science, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.

Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon, focal, or diffuse destructive inflammatory disease of the gallbladder mimicking or being together with the gallbladder carcinoma. This study aimed to evaluate the diagnosis, treatment, and outcomes of patients with XGC as a single tertiary center experience in the light of literature.

Materials And Methods: Data about 34 patients with XGC identified after evaluating 2212 cholecystectomy specimens between January 2013 and December 2018 in a single tertiary center were documented to determine demographics (sex, age), clinical symptoms and findings, biochemical and imaging clues and operative findings, duration of hospitalization, postoperative complications, and histopathologic results. Read More

View Article and Full-Text PDF

Cholelithiasis in the Dog: Prevalence, Clinical Presentation, and Outcome.

J Am Anim Hosp Assoc 2020 May/Jun;56(3):152. Epub 2020 Mar 17.

From Small Animal Hospital (P.M.W., K.B., G.H., S.B., M.C., G.N., A.E.R.) and Weipers Centre Equine Hospital (T.P.), University of Glasgow, Glasgow, United Kingdom.

Read More

View Article and Full-Text PDF
January 2021

Point-of-care Ultrasound Diagnosis of Emphysematous Cholecystitis.

Clin Pract Cases Emerg Med 2020 Feb 23;4(1):107-108. Epub 2020 Jan 23.

Mohammed Bin Rashid University of Medicine and Health Sciences, Department of Emergency Medicine, Dubai, United Arab Emirates.

A 49-year-old male presented to the emergency department with abdominal pain and generalized weakness. The physical examination was positive for right upper quadrant tenderness and positive Murphy's sign. Point-of-care biliary ultrasound revealed signs of emphysematous cholecystitis. Read More

View Article and Full-Text PDF
February 2020

Subphrenic abscess due to Clostridium perfringens after hepatic resection for hepatocellular carcinoma following emphysematous cholecystitis: Report of a case.

Int J Surg Case Rep 2020 27;67:86-90. Epub 2020 Jan 27.

Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Background: Subphrenic abscess caused by Clostridium perfringens is rare after hepatic resection. We herein report such a case after hepatic resection for hepatocellular carcinoma following treatment of emphysematous cholecystitis.

Case Presentation: A 69-years-old man with chronic hepatitis B, was admitted to our hospital for right subcostal pain and loss of appetite. Read More

View Article and Full-Text PDF
January 2020

A pictorial review of gall stones and its associated complications.

Clin Imaging 2020 Apr 28;60(2):228-236. Epub 2019 Nov 28.

Department of Diagnostic Radiology, Bridgeport Hospital at Yale New Haven Health, 167 Grant St, Bridgeport, CT 06610, USA.

Gallstone disease is the term commonly used to refer to gallstones that cause symptoms. There is a myriad of complications that can arise from gallstones: acute cholecystitis, xanthogranulomatous cholecystitis, emphysematous cholecystitis, gallbladder wall perforations, pericholecystic abscesses, Mirizzi syndrome, cholecystoenteric fistulas, choledocholithiasis, gallstone pancreatitis, porcelain gallbladder, gallbladder malignancies, and many more. The aim of this pictorial review is to revisit how multimodality imaging can help with the diagnosis of gallstone disease. Read More

View Article and Full-Text PDF

C-reactive Protein Is the Best Biomarker to Predict Advanced Acute Cholecystitis and Conversion to Open Surgery. A Prospective Cohort Study of 556 Cases.

J Gastrointest Surg 2020 12 25;24(12):2766-2772. Epub 2019 Nov 25.

Depatment of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.

Background: White blood cell levels (WBC) is the only biologic determinant criterion of the severity assessment of acute cholecystitis (AC) in the revised Tokyo Guidelines 2018 (TG18). The aims of this study were to evaluate the discriminative powers of common inflammatory markers (neutrophil-to-lymphocyte ratio (NLR), and C-reactive protein (CRP)) compared with WBC for the severity of AC, and the risk for conversion to open surgery and to determine their diagnostic cutoff levels.

Methods: This was a prospective cohort study. Read More

View Article and Full-Text PDF
December 2020

Utility of leucocytes, inflammatory markers and pancreatic enzymes as indicators of gangrenous cholecystitis.

Postgrad Med J 2020 Mar 7;96(1133):134-138. Epub 2019 Nov 7.

Community Emergency Health and Paramedic Practice, Monash University, Peninsula Campus, Frankston, Victoria, Australia.

Background: Acute cholecystitis is an emergency condition. If not promptly diagnosed and properly managed, the complication of gangrenous cholecystitis may develop, which may be a life-threatening complication.

Objectives: The study aims to examine various characteristics and physiological parameters in patients diagnosed with acute cholecystitis to evaluate if significant predictive factors exist for the differential diagnosis of gangrenous cholecystitis. Read More

View Article and Full-Text PDF

Emphysematous Cholecystitis.

N Engl J Med 2019 Aug;381(8):e14

Centre Hospitalier de Dreux, Dreux, France

View Article and Full-Text PDF

A deceptive case of emphysematous cholecystitis complicated with retroperitoneal gangrene and emphysematous pancreatitis: clinical and computed tomography features.

Pol J Radiol 2019 16;84:e41-e45. Epub 2019 Jan 16.

1 Department of Clinical Radiology, Medical University of Warsaw, Poland.

Purpose: Emphysematous cholecystitis (EC) is an uncommon, severe variant of acute cholecystitis caused by gas- forming bacteria - most often and . We present a deceptive case of EC associated with retroperitoneal gas gangrene and emphysematous pancreatitis.

Case Report: An 86-year-old, overweight woman was admitted to the emergency department with non-specific abdominal symptoms. Read More

View Article and Full-Text PDF
January 2019

Recurrence of -associated Intra-abdominal Infection 2 Years after Spilled Gallstones during Laparoscopic Cholecystectomy.

J Glob Infect Dis 2019 Jan-Mar;11(1):47-49

Department of Infectious Diseases, Stony Brook University, School of Medicine, Stony Brook, New York, USA.

Spilled gallstones during laparoscopic cholecystectomy (LC) are common. Lost gallstones can lead to complications such as intra-abdominal abscesses, which can occur days, months, or even years after the procedure. belongs to the family of Enterobacteriaceae. Read More

View Article and Full-Text PDF

Perforated emphysematous cholecystitis and Streptococcus bovis.

Rev Esp Enferm Dig 2019 Feb;111(2):166-167

Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, España.

Streptococcus bovis is an uncommon cause of biliary tract infection, being acute cholecystitis including this microorganism extremely rare. This entity is more frequent in older patients with cardiovascular disease, diabetes, hepatitis, or neoplasms as colon cancer. Read More

View Article and Full-Text PDF
February 2019

Emphysematous cholecystitis and cholecystocolic fistula.

Acta Chir Belg 2019 06 29;119(3):205-206. Epub 2018 Oct 29.

a Department of General and Digestive Surgery , Hospital Universitario de la Princesa , Madrid , Spain.

View Article and Full-Text PDF

Spontaneous Hepatic Hemorrhage Caused by Emphysematous Cholecystitis: A Case Report and Literature Review.

Surg Infect (Larchmt) 2019 Apr 23;20(3):247-250. Epub 2018 Oct 23.

3 Zhuji Central Hospital , Zhuji, Shaoxin, Zhejiang Province, China .

Background: Emphysematous cholecystitis and spontaneous hepatic hemorrhage are uncommon and serious conditions with non-specific presentations that can lead to a poor clinical outcome. We report a case of spontaneous hepatic hemorrhage of emphysematous cholecystitis. A 49-year-old male presented to the emergency department with fever, chills, right upper quadrant pain, vomiting, and diarrhea of four days' duration. Read More

View Article and Full-Text PDF

A pathology requiring urgent cholecystectomy : emphysematous cholecystitis.

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):449-450

Izmir Katip Celebi University Ataturk Training and Research Hospital, General Surgery Department, Izmir-Turkey.

View Article and Full-Text PDF
February 2019

Computed tomography imaging of complications of acute cholecystitis.

Indian J Radiol Imaging 2018 Apr-Jun;28(2):195-199

Facultad de Medicina, Clínica Alemana, Universidad del Desarrollo, Radiology Department, Hospital Padre Hurtado, Santiago de Chile.

Acute cholecystitis (AC) is a frequent complication of biliary cholelithiasis. Although ultrasound is the first diagnostic imaging procedure, frequently the initial imaging modality is computed tomography (CT). Therefore, familiarization of CT findings in AC and potential related complications are extremely important. Read More

View Article and Full-Text PDF

[A vomiting, old man with abdominal pain and fever].

Ned Tijdschr Geneeskd 2018 Jun 21;162. Epub 2018 Jun 21.

Haaglanden Medisch Centrum, afd. Interne Geneeskunde, Den Haag.

Emphysematous cholecystitis is a rare presentation of cholecystitis and is caused by gas producing bacteria such as Clostridium perfringens, Klebsiella species or Escherichia coli. We describe a fatal case of a 82-year-old man who presented with abdominal pain, vomiting, fever and acute confusion. An ultrasound and subsequent CT scan showed emphysematous cholecystitis. Read More

View Article and Full-Text PDF

Concurrent emphysematous pyelonephritis and emphysematous cholecystitis due to community-acquired ESBL .

BMJ Case Rep 2018 Jul 19;2018. Epub 2018 Jul 19.

Department of Internal Medicine, Presence Saint Joseph Hospital, Chicago, Illinois, USA.

View Article and Full-Text PDF