[Emphysematous cholecystitis: presentation of two clinical cases]

Area of Science:

• Gastroenterology
• Pathology

Background:

• Emphysematous cholecystitis is a rare and severe form of acute cholecystitis.
• The cumulative reported cases worldwide were 115 by 1971, highlighting its rarity.

Purpose of the Study:

• To present two additional cases of emphysematous cholecystitis.
• To analyze the features of these cases and compare them with existing literature.
• To support the proposed etiology of emphysematous cholecystitis.

Main Methods:

• Case study review.
• Literature review and comparative analysis.

Main Results:

• Two cases of emphysematous cholecystitis were observed between 1967 and 1972.
• The clinical and pathological features of these cases align with previously reported findings.

Conclusions:

• Emphysematous cholecystitis is strongly associated with primary obliterative endarteritis.
• Secondary proliferation of microorganisms plays a crucial role in the pathogenesis of this condition.