1/35. Gas in the bile ducts (pneumobilia) in emphysematous cholecystitis.Gas in the biliary ducts (pneumobilia) was demonstrated in three cases of emphysematous cholecystitis. Pneumobilia is usually secondary to a spontaneous internal biliary fistula or incompetent sphincter of oddi, and is rarely considered a manifestation of emphysematous cholecystitis. The presence of gas in the biliary ducts in these cases suggests that the cystic duct is patent, allowing gas to escape from the gallbladder lumen. The pathophysiology of emphysematous cholecystitis is discussed and an ischemic etiology considered.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
2/35. Percutaneous drainage of emphysematous cholecystitis associated with pneumoperitoneum.emphysematous cholecystitis, a relatively rare variant of acute cholecystitis, is associated with high morbidity and mortality rates. In the presence of a concomitant pneumoperitoneum, these rates may be considered even higher, approaching those of perforation of the gallbladder. The first choice of treatment in cases presenting with pneumoperitoneum is emergency laparotomy. We performed a staged procedure as a second best alternative. In a 65 year-old female patient, initial percutaneous cholecystostomy with a strict intravenous antibiotics regimen, and subsequent cholecystectomy 6 months, later was carried out with successful outcome. A review of the literature revealed 13 other cases of this combination. Treatment modalities and outcome of these patients are discussed.- - - - - - - - - - ranking = 0.85714285714286keywords = cholecystitis (Clic here for more details about this article) |
3/35. 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 = 0.71428571428571keywords = cholecystitis (Clic here for more details about this article) |
4/35. Acute emphysematous cholecystitis preceded by symptoms of ileus: report of a case.We herein describe a case of acute emphysematous cholecystitis in which the patient presented with symptoms of ileus. The patient was a 72-year-old man with no history of diabetes mellitus. He presented with epigastric pain, vomiting, and low-grade fever. Plain abdominal radiography showed some intestinal gas and niveau, and he was admitted to our hospital with a diagnosis of ileus. The next day, the abdominal pain increased and was accompanied by muscular defense. Plain radiography and computed tomography of the abdomen were carried out, and an emergency laparotomy was performed under a diagnosis of panperitonitis due to a perforation of the gallbladder caused by acute emphysematous cholecystitis. The patient made favorable progress after the operation and was discharged on postoperative day 14. Percutaneous transhepatic gallbladder drainage has been increasingly performed for the treatment of acute emphysematous cholecystitis. but when a perforation of the gallbladder is suspected, a laparotomy first should be considered.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
5/35. emphysematous cholecystitis.emphysematous cholecystitis is a relatively rare variant of acute cholecystitis with infection by gas-producing organisms. diagnosis involves the demonstration of gas within the lumen or wall of the gallbladder by ultrasound or CT scan. In contrast to acute cholecystitis, emphysematous cholecystitis occurs more commonly in elderly and diabetic patients, and is frequently associated with perforation and death. We report here a case of a 75-year old man who developed emphysematous cholecystitis.- - - - - - - - - - ranking = 1.2857142857143keywords = cholecystitis (Clic here for more details about this article) |
6/35. Emphysematous gastritis -- case report and review of the literature.Emphysematous gastritis is a rare form of phlegmonous gastritis caused by invasion of the stomach wall by gas-forming bacteria. This clinical entity was first described by Fraenkel in 1889. The authors report the case of a 58-year-old patient with end-stage renal failure under treatment with hemodialysis for the past year. He was admitted on account of pain in the lower abdomen. During the diagnostic procedure, emphysematous gastritis and acute cholecystitis were confirmed. An acute abdomen developed and an emergency laparotomy was performed. During the procedure, the necrotic gallbladder was removed. The patient died on the following day due to multiorgan failure and septic shock. According to the literature, emphysematous gastritis is generally a fatal disease. air in the wall of the stomach is a rare finding with a broad differential diagnosis.- - - - - - - - - - ranking = 0.14285714285714keywords = cholecystitis (Clic here for more details about this article) |
7/35. 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 = 1.2857142857143keywords = cholecystitis (Clic here for more details about this article) |
8/35. emphysematous cholecystitis: diagnostic problems and differential diagnosis of gallbladder gas accumulations.Acute emphysematous cholecystitis is an uncommon form of acute cholecystitis characterized by the presence of gas within the wall, lumen of the gallbladder or biliary ducts. Recognition of this gas is of utmost importance for an adequate therapy. Based on selected case studies the significance of plain abdominal radiographs, ultrasonography, CT and radionuclide studies is discussed. Differential diagnoses and diagnostic problems are mentioned to help understand this rare, but clinically important condition.- - - - - - - - - - ranking = 0.85714285714286keywords = cholecystitis (Clic here for more details about this article) |
9/35. subcutaneous emphysema of the lower extremity of abdominal origin.Three cases of subcutaneous emphysema of the lower extremity due to abdominal disease are reported. These were due to (a) perforation of the sigmoid, (b) perirectal abscess, and (c) non-traumatic metastatic gas gangrene due to emphysematous cholecystitis. The mechanisms and anatomical pathways are discussed.- - - - - - - - - - ranking = 0.14285714285714keywords = cholecystitis (Clic here for more details about this article) |
10/35. The ultrasound spectrum of emphysematous cholecystitis.This report presents a gamut of ultrasound signs that may be seen in emphysematous cholecystitis. These can be summarized as follows: Intraluminal gas: (a) A dense band of hyper-reflective echoes with distal reverberations when gallbladder is full of gas. (b) A band of reverberations in the gas-filled portion of the gallbladder with the usual signs of cholecystitis in the bile-filled portion when the gallbladder is partially full of gas. Intramural gas: (c) An area of high reflectivity in the gallbladder wall with reverberations that may change position with change in position of patient. (d) A bright hyper-reflective ring emanating from the whole circumference of the gallbladder.- - - - - - - - - - ranking = 0.85714285714286keywords = cholecystitis (Clic here for more details about this article) |
| | Next -> |