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Published on: September 22, 2019
Emphysematous cholecystitis due to Salmonella derby
Abeer Moanna1, Rahul Bajaj, Carlos del Rio
1Department of Medicine and the Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30303, USA.
The Lancet. Infectious Diseases
|January 28, 2006
Summary
A diabetic patient developed emphysematous cholecystitis, a rare gallbladder condition. Prompt diagnosis via CT scan and emergency surgery led to her recovery.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diabetes mellitus is a common comorbidity associated with various complications.
- Gastroenteritis symptoms can sometimes mask more severe underlying conditions.
Observation:
- A patient with diabetes mellitus presented with gastroenteritis-like symptoms and rapidly deteriorated.
- Computed tomography revealed gas within the gallbladder lumen, indicative of emphysematous cholecystitis.
- The gallbladder was found to have ruptured during emergent cholecystectomy.
Findings:
- Emphysematous cholecystitis is a severe variant of acute cholecystitis requiring urgent surgical intervention.
- Diagnosis often depends on imaging (CT or ultrasound) due to non-specific clinical presentations.
- Salmonella derby was identified in blood cultures, suggesting a potential infectious etiology.
Implications:
- Early recognition and surgical management are critical for improving outcomes in emphysematous cholecystitis.
- This case highlights the importance of considering uncommon diagnoses in diabetic patients with atypical presentations.
- Multidisciplinary care involving surgery, infectious disease, and critical care is essential for managing such complex cases.
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