1/8. hyperbaric oxygenation as adjuvant therapy to surgery of emphysematous cholecystitis.Three cases of emphysematous cholecystitis are presented. The role of hyperbaric oxygenation as excellent adjuvant therapy to urgent surgical as well as intensive conservative treatment is emphasized.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
2/8. emphysematous cholecystitis: report of a case.A case is reported of emphysematous cholecystitis that occurred seven months after vagotomy and hemigastrectomy (with Billroth II reconstruction). It was successfully treated by means of initial cholecystostomy and interim cholecystectomy six weeks later. Although it has been urged by some that an emergency operation is always indicated in this condition, in the case presented, the timing of the operation was determined by the overall clinical picture of the patient.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
3/8. Human infection caused by Clostridium hathewayi.We describe a 27-year-old man with acute cholecystitis, hepatic abscess, and bacteremia caused by Clostridium hathewayi, a newly described gram-negative, endospore-forming, rod-shaped bacterium. This report is the first of human infection caused by this microorganism.- - - - - - - - - - ranking = 0.2keywords = cholecystitis (Clic here for more details about this article) |
4/8. A case of emphysematous cholecystitis managed by laparoscopic surgery.BACKGROUND: emphysematous cholecystitis is a rare condition caused by ischemia of the gallbladder wall with secondary gas-producing bacterial proliferation. The pathophysiology and epidemiology of this condition differ from that in gallstone-related acute cholecystitis. This report illustrates a case of emphysematous cholecystitis successfully treated by laparoscopic surgery. methods: An 83-year-old female patient was admitted to the hospital with acute abdominal syndrome. Clinical examination and blood tests suggested acute cholecystitis. Plain radiography revealed a circular gas pattern in the right upper quadrant suggestive of emphysematous cholecystitis. Subsequent computed tomography confirmed the presence of gas in the gallbladder wall and a gas-fluid level within the organ. RESULTS: Emergency laparoscopic cholecystectomy was successfully performed during which bubbling of the gallbladder wall was observed. Intraoperative cholangiography revealed no bile duct stones or biliary obstruction. The patient made an unremarkable recovery from surgery with no postoperative complications or admission to the intensive care unit. Pathological analysis revealed full-thickness infarctive necrosis of the gallbladder. Bacterial cultures grew clostridium perfringens. CONCLUSIONS: This case illustrates a typical case of emphysematous cholecystitis successfully treated by laparoscopic surgery. It contributes to suggestions from other reports that this condition can be safely treated by the laparoscopic approach.- - - - - - - - - - ranking = 2keywords = cholecystitis (Clic here for more details about this article) |
5/8. Fatal Clostridium welchii septicaemia following acute cholecystitis.A case of Clostridium welchii septicaemia following acute cholecystitis is described. The onset was acute and a rapidly fatal outcome ensued. Radiological findings were negative. An approach to the antibiotic treatment and general management is discussed.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
6/8. A comparative appraisal of emphysematous cholecystitis.There is ample evidence from this retrospective comparison to indicate that emphysematous cholecystitis does merit clinical distinction apart from acute cholecystitis. It is an acute infection of the gallbladder caused by a specific group of bacteria that may be aided by some aspect of local ischemia. cholelithiasis does not seem to be a major factor in the pathogenesis of emphysematous cholecystitis, and this, in association with some dependence upon ischemia, may account for the predominance of this disease in males rather than females. gangrene is a common feature of the pathologic process, and thus it is not surprising that the diagnosis of emphysematous cholecystitis implies a risk of gallbladder perforation that is five times that expected from ordinary acute cholecystitis. The key to identifying this disease is the plain abdominal roentgenogram which in most instances will make the diagnosis and provide an impetus for early operative intervention.- - - - - - - - - - ranking = 1.8keywords = cholecystitis (Clic here for more details about this article) |
7/8. Computed tomography as the method of choice in the diagnosis of emphysematous cholecystitis.Computed tomographic (CT) findings in 4 cases of acute emphysematous cholecystitis are described. The use of CT in the diagnosis of this condition is discussed in relation to the use of sonography and plain radiography.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
8/8. Hematogenously acquired infection of a total knee arthroplasty by clostridium perfringens.A 64-year-old man with total knee arthroplasty for tricompartmental osteoarthritis had a postoperative course complicated by an attack of acute cholecystitis and was treated with cholecystectomy. The TKA was hematogenously seeded with clostridium perfringens, which necessitated emergency removal of the implants, debridement, and ultimately arthrodesis.- - - - - - - - - - ranking = 0.2keywords = cholecystitis (Clic here for more details about this article) |