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Air in gallbladder: Emphysematous cholecystitis or else?
Konstantinos Sitaridis1, Iliana Domi1, Maria Nathanailidou1
1Department of General Surgery General Hospital of Drama Drama Greece.
Clinical Case Reports
|March 31, 2023
Summary
Gas in gallstones is a rare finding, but gas in the gallbladder strongly suggests emphysematous cholecystitis. This condition requires urgent diagnosis and treatment due to its rapid progression and high mortality risk.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Background:
- Gas within gallstones is an uncommon radiological observation.
- Differential diagnoses for gallbladder gas include biliary-enteric fistula, prior sphincterotomy, and cholangitis caused by gas-forming organisms.
Observation:
- The presence of gas in the gallbladder is a critical radiological finding.
Findings:
- Gas in the gallbladder raises significant suspicion for emphysematous cholecystitis.
Implications:
- Emphysematous cholecystitis necessitates prompt diagnosis and immediate management.
- This condition carries a high mortality rate and a rapid clinical course, underscoring the urgency of intervention.
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