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Published on: October 11, 2018
Upper gastrointestinal bleeding related to emphysematous cholecystitis due to Clostridium perfringens
Philippe Gottignies1, Didier Hossey, Luc Lasser
1Critical Care Department, Brugmann University Hospital, Place A. Van Gehuchten, Brussels, Belgium.
Abstract:
We describe the case of a 46-year-old man admitted for upper gastrointestinal bleeding in the context of cirrhosis. A deep bleeding duodenal ulcer was treated by sclerotherapy. Abdominal pain and fever lead us to perform an abdominal computed tomography, which demonstrated emphysematous cholecystitis. An emergency cholecystectomy was performed and antimicrobial therapy initiated. The patient recovered uneventfully. Links between ulcers and emphysematous cholecystitis are discussed.
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