Emphysematous cholecystitis with massive gas in the abdominal cavity

作     者：Hiroyuki Miyahara Dai Shida Hiroki Matsunaga Yukiko Takahama Sachio Miyamoto 

作者机构：Department of SurgeryTokyo Metropolitan Bokutoh Hospital Colorectal Surgery DivisionNational Cancer Center Hospital 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第4期

页      面：604-606页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Emphysematous cholecystitis Pneumoperitoneum Clostridium perfringens 

摘      要：Emphysematous cholecystitis is a rare variant of acute cholecystitis with a high mortality *** combination of emphysematous cholecystitis and pneumoperitoneum is also *** herein describe a case of emphysematous cholecystitis with massive gas in the abdominal cavity.A 77-year-old male presented with epigastric pain and lassitude lasting for one week.A computed tomography scan demonstrated massive gas in the abdominal *** was also detectable inside the *** ascites as well as a pleural effusion were also *** the diagnosis of perforation of the digestive tract,we performed emergency *** our expectations,the perforation site was not in the alimentary tract,but rather in the *** then diagnosed the patient with emphysematous cholecystitis with perforation,and performed cholecystectomy.A pathological examination of the resected gallbladder revealed necrosis in the mucosa and thinning of the *** of the ascites detected Clostridium perfringens,a gas-producing microorganism.