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[Acute emphysematous cholecystitis. One case (author's transl)]

J P Tessier, D Franco, B Bolner

    Journal De Radiologie, D'Electrologie, Et De Medecine Nucleaire
    |February 1, 1977
    PubMed
    Summary

    Acute emphysematous cholecystitis, a rare gallbladder condition, is diagnosed preoperatively using specific X-ray views. Key findings include air in the gallbladder and potentially the biliary tract, aiding differentiation from other conditions.

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    Area of Science:

    • Radiology
    • Gastroenterology
    • Surgical Pathology

    Background:

    • Acute emphysematous cholecystitis is a rare, potentially life-threatening gallbladder inflammation characterized by gas-forming organisms.
    • Accurate preoperative diagnosis is crucial for timely surgical intervention and improved patient outcomes.

    Observation:

    • Radiological studies are paramount for preoperative diagnosis.
    • Specific X-ray positions, including dorsal decubitus, lateral, and horizontal ray lateral decubitus, are recommended.
    • The presence of gas within the gallbladder lumen and wall is a primary diagnostic indicator.

    Findings:

    • Additional radiological findings may include air in the peribiliary space.
    • Gas within the biliary tract, though rare, is a significant observation requiring attention.

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  • Differential diagnosis must exclude internal biliary fistula, extraluminal gas from adjacent organs, and lipomatosis.

    • Implications:

    • Early and accurate radiological diagnosis facilitates prompt treatment, potentially reducing morbidity and mortality.
    • Understanding the characteristic radiological signs aids in differentiating this condition from mimics like gangrenous cholecystitis.
    • Recognition of gas in the biliary tract offers valuable diagnostic and potentially prognostic information.