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Related Experiment Video

Updated: Aug 14, 2025

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Spontaneous Gallbladder Perforation: A Case Report.

Yitong Xiao1, Robert Salem2, Shafaq Maula2

  • 1Surgery, Saint James School of Medicine, Chicago, USA.

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|January 9, 2023
PubMed
Summary
This summary is machine-generated.

Emphysematous cholecystitis (EC), a surgical emergency, presents similarly to acute cholecystitis but requires CT scans for diagnosis. This case highlights a ruptured EC, emphasizing its critical nature and diagnostic challenges.

Keywords:
cancer gallbladdercholecystectomycholecystitisemergent general surgerygallbladder perforation

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Area of Science:

  • Gastroenterology
  • Surgical Emergencies
  • Diagnostic Imaging

Background:

  • Emphysematous cholecystitis (EC) is a rare, severe gallbladder infection caused by gas-forming bacteria.
  • EC presents with symptoms overlapping acute cholecystitis, complicating early diagnosis.
  • It carries higher risks of gangrene, perforation, and mortality than typical cholecystitis.

Observation:

  • A 57-year-old female presented with nausea, vomiting, and right upper quadrant abdominal pain.
  • Physical exam revealed abdominal tenderness and laboratory tests showed leukocytosis.
  • Abdominal CT scan identified gas within the gallbladder lumen and surrounding tissue, indicative of perforation.

Findings:

  • The CT findings confirmed a diagnosis of ruptured emphysematous cholecystitis.
  • This diagnosis was critical given the associated high morbidity and mortality rates.
  • Prompt diagnosis via CT is essential for managing this surgical emergency.

Implications:

  • Emphasizes the importance of CT scans in differentiating EC from acute cholecystitis.
  • Highlights the severe complications, including perforation, associated with EC.
  • Underscores the need for timely surgical intervention in cases of suspected EC.