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Updated: Oct 5, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Acute emphysematous cholecystitis due to clostridium perfringens: a rare entity requiring aggressive and early
Julio Santoyo Villalba1, Inés Cañas García2, Mónica Mogollón González3
1Cirugía General y Aparato Digestivo, Hospital Universitario Virgen de las Nieves, España.
Abstract:
Acute emphysematous cholecystitis is a rare entity (1% of acute cholecystitis) characterized by the presence of gas in the gallbladder lumen, gallbladder wall or even in the bile duct (pneumobilia). It is associated with arteriosclerosis, embolic events, and diabetes mellitus and as in other similar pathologies such as emphysematous gastritis or emphysematous pancreatitis the most frequently isolated microorganisms are Streptococcus pyogenes, Escherichia coli and Staphylococcus aureus, although others such as Proteus vulgaris, Pseudomonas aeruginosa, Clostridium perfringens and Klebsiella pneumoniae have also been found.
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