401 results match your criteria Emphysematous Cholecystitis


Clostridium perfringens and Escherichia coli Bacteremia in a Patient with Acute Obstructive Suppurative Cholangitis: A Case Report and Review of the Literature.

Am J Case Rep 2022 May 8;23:e936329. Epub 2022 May 8.

Department of General Surgery, Shanghai Gongli Hospital, The Second Military Medical University, Shanghai, China (mainland).

BACKGROUND Clostridium perfringens (CP), one of several clostridial species gram-positive bacteria, is a major cause of animal necrosis enteritis and traumatic gangrene. In some reports, CP can cause acute emphysematous cholecystitis in patients with biliary tract infections. However, C. Read More

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Laparoscopic treatment of an unruptured cystic artery pseudo-aneurysm in the presence of calculous emphysematous cholecystitis.

J Surg Case Rep 2022 Jan 31;2022(1):rjab625. Epub 2022 Jan 31.

Department of General Surgery, Ealing Hospital, London Northwest NHS Healthcare Trust, London, UK.

Cystic artery pseudoaneurysm is a rare complication of invasive biliary procedures or of acute or chronic cholecystitis and pancreatitis. Emphysematous cholecystitis is an acute inflammatory process of the gallbladder due to gas forming organisms such as and . We report the case of a 34-year-old gentleman admitted with a 3-day history of generalized abdominal pain, vomiting and markedly raised inflammatory markers. Read More

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January 2022

Acute emphysematous cholecystitis due to clostridium perfringens: rare entity requiring aggressive and early treatment.

Rev Esp Enferm Dig 2022 Jan 25. Epub 2022 Jan 25.

Cirugía General y Aparato Digestivo, Hospital Universitario Virgen de las Nieves.

Acute emphysematous cholecystitis is a rare entity (1% of acute cholecystitis) characterized by the presence of gas in the gallbladder lumen, gallbladder wall or even in the bile duct (pneumobilia). It is associated with arteriosclerosis, embolic events, and diabetes mellitus and as in other similar pathologies such as emphysematous gastritis or emphysematous pancreatitis the most frequently isolated microorganisms are Streptococcus pyogenes, Escherichia coli and Staphylococcus aureus, although others such as Proteus vulgaris, Pseudomonas aeruginosa, Clostridium perfringens and Klebsiella pneumoniae have also been found. Read More

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January 2022

Emphysematous Pyelonephritis and Emphysematous Cholecystitis: A Result of Uncontrolled Type 2 Diabetes.

Ochsner J 2021 ;21(3):316-318

Department of Urology, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.

Emphysematous pyelonephritis (EPN) is a life-threatening necrotizing infection that results in the presence of gas in the renal parenchyma, collecting system, and surrounding tissues. Up to 95% of patients with EPN have underlying uncontrolled diabetes mellitus. Emphysematous cholecystitis (EC) is a necrotizing infection defined by the presence of gas in the gallbladder. Read More

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January 2021

CT and MRI findings of acute calculous cholecystitis and its complications in Singapore: A pictorial review.

Med J Malaysia 2021 09;76(5):706-713

Tan Tock Seng Hospital, Department of Diagnostic Radiology, Singapore.

Introduction: Acute cholecystitis (AC) is a common problem encountered in surgical practice. This occurs due to obstruction of the cystic duct by calculi resulting in inflammation of the gallbladder. Increasingly, contrast enhanced computed tomography (CECT) and Magnetic Resonance Imaging (MRI) scans are being used for assessment. Read More

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September 2021

Synchronous presentation of acute cholecystitis and acute appendicitis successful treatment in one step laparoscopic procedure. A case series and literature review.

Int J Surg Case Rep 2021 Sep 10;86:106296. Epub 2021 Aug 10.

Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, 11237, NY, USA.

Introduction: Hundreds of thousands of cholecystectomies and appendectomies are performed in the United States annually. Due to the prevalence of cholecystitis and appendicitis, a subset of patients will require both operations. The limited literature describing these patients supports a laparoscopic approach over open surgery; consistent with the advantages of laparotomy over open surgery in the treatment of each condition individually. Read More

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September 2021

Emphysematous Cholecystitis Secondary to Fusobacterium nucleatum.

Cureus 2021 Jun 15;13(6):e15660. Epub 2021 Jun 15.

Infectious Disease, Ocala Regional Medical Center, University of Central Florida College of Medicine, Ocala, USA.

may be implicated in cases of emphysematous cholecystitis (EC) and carries a high mortality risk, especially in individuals with heart disease, renal insufficiency, and underlying malignancy.  infections are rarely detected in the setting of cholecystitis possibly due to the difficulty with properly culturing the bacteria. We describe a case of a patient with EC in whom blood cultures were positive for growth of in one of two samples. Read More

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Emphysematous cholecystitis: A deadly disguise of a common culprit.

Clin Case Rep 2021 Jun 23;9(6):e04341. Epub 2021 Jun 23.

St Joseph's University Medical Center Paterson NJ USA.

Emphysematous cholecystitis is a critical differential diagnosis for physicians to consider when evaluating patients with acute abdomen. Patients who are unable to undergo emergency surgery can benefit from percutaneous cholecystostomy. Read More

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Cholecystitis enfisematous suspected SARS-CoV-2 infection.

Cir Esp (Engl Ed) 2021 Aug-Sep;99(7):538. Epub 2021 Jun 23.

Hospital de Mataró, Servicio Cirugía General y Digestiva, Unidad hepatobiliopancreática, Barcelona, Spain.

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Complications of cholecystitis: a comprehensive contemporary imaging review.

Emerg Radiol 2021 Oct 10;28(5):1011-1027. Epub 2021 Jun 10.

Department of Radiology, Emory University Hospital, Atlanta, GA, USA.

Acute cholecystitis is a common cause of right upper quadrant pain in patients presenting to the emergency department. Ultrasound, computed tomography, HIDA scans, and magnetic resonance imaging are increasingly utilized to evaluate suspected cases. The prognosis of acute cholecystitis is usually excellent with timely diagnosis and management. Read More

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October 2021

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

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

J Emerg Med 2021 Jun 24;60(6):e151-e153. 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

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

Surg Infect (Larchmt) 2021 Oct 16;22(8):875-876. Epub 2021 Feb 16.

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

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October 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

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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

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December 2020

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

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

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

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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

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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

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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.

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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.

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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

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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

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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

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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.

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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

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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

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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

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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

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December 2020