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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 cas...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2005
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015641/ https://www.ncbi.nlm.nih.gov/pubmed/16381372 |
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author | Bouras, George Lunca, Sorinel Vix, Michel Marescaux, Jacques |
author_facet | Bouras, George Lunca, Sorinel Vix, Michel Marescaux, Jacques |
author_sort | Bouras, George |
collection | PubMed |
description | 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 gall-bladder 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. |
format | Text |
id | pubmed-3015641 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30156412011-02-17 A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery Bouras, George Lunca, Sorinel Vix, Michel Marescaux, Jacques JSLS Case Reports 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 gall-bladder 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. Society of Laparoendoscopic Surgeons 2005 /pmc/articles/PMC3015641/ /pubmed/16381372 Text en © 2005 by the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Bouras, George Lunca, Sorinel Vix, Michel Marescaux, Jacques A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title | A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title_full | A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title_fullStr | A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title_full_unstemmed | A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title_short | A Case of Emphysematous Cholecystitis Managed by Laparoscopic Surgery |
title_sort | case of emphysematous cholecystitis managed by laparoscopic surgery |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015641/ https://www.ncbi.nlm.nih.gov/pubmed/16381372 |
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