Emphysematous Cholecystitis
- PMID: 28846291
- Bookshelf ID: NBK448099
Emphysematous Cholecystitis
Excerpt
Emphysematous cholecystitis is a fulminant variety of acute cholecystitis that differs in its pathology and epidemiology from cholecystitis induced by gallstones. The characteristic feature of this sinister variant of cholecystitis is the presence of gas in the lumen and wall of the gallbladder. The presence of gas may be detected elsewhere in the biliary tract or adjacent structures in addition to gas in the gallbladder wall. Emphysematous cholecystitis occurs in about 1% of all cases of acute cholecystitis but carries significantly higher morbidity and mortality. Individuals most susceptible to emphysematous cholecystitis are people with diabetes mellitus and those with a weak immune system.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Staging
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Consultations
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References
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- Rosenberg AA, Cherry-Bukowiec JR, Li SH, Napolitano LM. Emphysematous cholecystitis. Surg Infect (Larchmt) 2013 Oct;14(5):483-5. - PubMed
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- Ohtani Y, Tanaka Y, Tsukui M, Goto K, Moriya H, Tobita K, Sekka T, Saito Y, Makuuchi H, Tajima T, Mitomi T. Acute emphysematous cholecystitis associated with pneumobilia: a case report. Tokai J Exp Clin Med. 1996 Feb;21(1):33-6. - PubMed
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- Tögel H, Sommer P. [Emphysematous cholecystitis (author's transl)]. MMW Munch Med Wochenschr. 1981 Apr 24;123(17):691-4. - PubMed
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- Huber T, Kübler R. [Acute emphysematous cholecystitis]. Helv Chir Acta. 1979 Aug;46(3):477-81. - PubMed
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- Mentzer RM, Golden GT, Chandler JG, Horsley JS. A comparative appraisal of emphysematous cholecystitis. Am J Surg. 1975 Jan;129(1):10-5. - PubMed
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