Ewha Med J.  2013 Sep;36(2):153-155. 10.12771/emj.2013.36.2.153.

Pneumoperitoneum due to Emphysematous Cholecystitis

Affiliations
  • 1Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea. ralee@ewha.ac.kr

Abstract

No abstract available.

Keyword

Cholecystitis; Pneumoperitoneum

MeSH Terms

Cholecystitis
Emphysematous Cholecystitis*
Pneumoperitoneum*

Figure

  • Fig. 1 Preoperative abdominal ultrasonography. (A) More than 10 cm sized cystic mass is identified at adjacent to lateral segment of liver. (B) Small stones and sludge are visible in distended gallbladder.

  • Fig. 2 Preoperative abdominal computed tomography. (A) Fluid collection with air-fluid level and extraluminal air density (white arrow) are identified in superior recess and lesser sac and peritonitis due to gastric ulcer perforation is suspicious. (B) There are gallstones with diffuse gallbladder wall thickening and distal common bile duct stone with bile duct dilatation. (C) Coronal view.

  • Fig. 3 Postoperative abdominal computed tomography. The patient is cholecystectomy status. Fluid collection with air-fluid level and ex


Reference

1. Miyahara H, Shida D, Matsunaga H, Takahama Y, Miyamoto S. Emphysematous cholecystitis with massive gas in the abdominal cavity. World J Gastroenterol. 2013; 19:604–606.
2. Kanehiro T, Tsumura H, Ichikawa T, Hino Y, Murakami Y, Sueda T. Patient with perforation caused by emphysematous cholecystitis who showed flare on the skin of the right dorsal lumbar region and intraperitoneal free gas. J Hepatobiliary Pancreat Surg. 2008; 15:204–208.
3. Zeebregts CJ, Wijffels RT, de Jong KP, Peeters PM, Slooff MJ. Percutaneous drainage of emphysematous cholecystitis associated with pneumoperitoneum. Hepatogastroenterology. 1999; 46:771–774.
4. Modini C, Clementi I, Simonelli L, Antoniozzi A, Assenza M, Ciccarone F, et al. Acute emphysematous cholecystitis as a cause of pneumoperitoneum. Chir Ital. 2008; 60:315–318.
5. Shrestha Y, Trottier S. Images in clinical medicine. Emphysematous cholecystitis. N Engl J Med. 2007; 357:1238.
6. Wu JM, Lee CY, Wu YM. Emphysematous cholecystitis. Am J Surg. 2010; 200:e53–e54.
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