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[Acute emphysematous cholecystitis].

T Huber, R Kübler

Helvetica Chirurgica Acta

|August 1, 1979

Summary

This summary is machine-generated.

Emphysematous cholecystitis, a rare gallbladder condition, can be caused by Clostridium perfringens. This case highlights gas within the gallbladder and ducts, leading to gangrene.

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Area of Science:

Gastroenterology and Hepatology
Infectious Diseases

Background:

Emphysematous cholecystitis is a rare, severe variant of acute cholecystitis.
It is characterized by gas formation within the gallbladder wall and lumen.

Observation:

A patient presented with acute abdomen and was diagnosed with emphysematous cholecystitis.
The condition was caused by Clostridium perfringens infection.
Radiographic findings revealed gas in the gallbladder wall and ducts, with a distended, gangrenous gallbladder containing purulent material, but no gallstones.

Findings:

The gallbladder wall was emphysematous and gangrenous.
Gas was present within the gallbladder and biliary ducts.
Clostridium perfringens was identified as the causative agent.

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Implications:

This case underscores the importance of considering Clostridium perfringens in severe emphysematous cholecystitis.
Prompt diagnosis and surgical intervention are crucial for managing this life-threatening condition.
Understanding the pathogenesis is key to effective treatment strategies.