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Acute emphysematous cholecystitis.

C U Abengowe, P J McManamon

    Canadian Medical Association Journal
    |November 16, 1974
    PubMed
    Summary
    This summary is machine-generated.

    Acute emphysematous cholecystitis (AEC) is a rare gallbladder condition. Early diagnosis via imaging and prompt surgical intervention with antimicrobial therapy are crucial for patient survival.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Radiology

    Background:

    • Acute emphysematous cholecystitis (AEC) is a severe, uncommon gallbladder inflammation.
    • It is characterized by gas formation within the gallbladder wall and lumen, often due to gas-producing bacteria.
    • AEC disproportionately affects male patients with diabetes mellitus.

    Observation:

    • This report details a case of AEC in an elderly North American male of Indian ancestry with diabetes.
    • Preoperative diagnosis was achieved using plain abdominal radiographic films.
    • Surgical exploration revealed a gangrenous, distended gallbladder.

    Findings:

    • The gallbladder contents and wall yielded a culture of Clostridium perfringens.
    • This confirms a bacterial etiology, specifically gas-forming organisms, in this AEC case.

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    Implications:

    • Early diagnosis of AEC through imaging is critical.
    • Prompt surgical intervention combined with intensive antimicrobial therapy and fluid/electrolyte management is essential for favorable outcomes.
    • This case highlights the importance of considering AEC in diabetic patients presenting with acute abdominal symptoms.