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[Emphysematous cholecystitis (author's transl)].

R Corral, J Mira, J Fening

    Revista De Gastroenterologia De Mexico
    |July 1, 1979
    PubMed
    Summary
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    Emphysematous cholecystitis, a gallbladder inflammation, requires prompt treatment. This case highlights successful surgical and antibiotic management, emphasizing the need for broad-spectrum antibiotics against common bacterial infections.

    Area of Science:

    • Gastroenterology
    • Surgical Case Reports

    Background:

    • Emphysematous cholecystitis is a rare, severe form of acute cholecystitis.
    • It is characterized by gas formation within the gallbladder wall and lumen.
    • Prompt diagnosis and surgical intervention are crucial for patient outcomes.

    Observation:

    • A case of emphysematous cholecystitis is presented.
    • The gallbladder measured an enlarged 25 x 12 cm.
    • The patient presented with symptoms indicative of acute gallbladder inflammation and gas production.

    Findings:

    • Successful surgical management via cholecystectomy was performed.
    • The patient showed adequate clinical response to a combination of antibiotics: chloramphenicol, penicillin, and metronidazole.
    • Bacterial cultures likely revealed common causative agents such as Clostridia and Escherichia species.

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    Implications:

    • This case underscores the importance of timely surgical intervention in emphysematous cholecystitis.
    • The reported antibiotic regimen provides a potential treatment strategy for similar cases.
    • Awareness of prevalent bacterial pathogens is key for effective antibiotic selection in gallbladder infections.