emphysematous cholecystitis

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Related to emphysematous cholecystitis: emphysematous cystitis, empyema of gallbladder


inflammation of the gallbladder, acute or chronic.
Acute Cholecystitis. The most frequent cause of acute cholecystitis is gallstones. Other causes include typhoid fever and a malignant tumor obstructing the biliary tract. The inflammation may be secondary to a systemic sepsis.

The symptoms of a mild inflammation may be very slight and include indigestion, moderate pain and tenderness in the upper right quadrant of the abdomen that is usually aggravated by deep breathing, malaise, and a low-grade fever. When gallstones or other disorders cause complete obstruction of the bile ducts, the symptoms are much more extreme. The pain becomes unbearable, the temperature may rise to 40°C (104°F), and there is nausea and vomiting.

Treatment of acute cholecystitis may entail either cholecystectomy or cholecystostomy. In some cases the surgery may be postponed until the attack subsides.
Chronic Cholecystitis. Chronic cholecystitis progresses more slowly than acute cholecystitis, but it also is usually the result of gallstones or other conditions that lead to obstruction of the bile ducts and impaired gallbladder function. It is the most common disorder of the gallbladder.

The characteristic symptom of chronic cholecystitis is indigestion manifested by discomfort after eating, with flatulence and nausea. If the meal has been larger than usual, or high in fat content, the symptoms are more pronounced and there is eructation (belching) and regurgitation. There may also be vomiting and some pain in the upper right quadrant of the abdomen. It is not unusual for patients to suffer repeated episodes before seeking medical attention. Neglect of the situation may lead to permanent damage to the gallbladder and liver.

Diagnosis of cholecystitis is aided by the use of ultrasonography to visualize an enlarged, inflamed gallbladder and detect the presence of gallstones. Radionuclide scanning is the most reliable diagnostic test for cholecystitis.

The preferred treatment of chronic cholecystitis with gallstones is cholecystectomy. If surgery is contraindicated for some reason, then the symptoms may be controlled to some extent by low-fat diet, restriction of alcohol intake, and spacing of meals so that large amounts of food are avoided and there is not a long interval between meals.
emphysematous cholecystitis that due to gas-producing organisms, marked by gas in the gallbladder lumen, often infiltrating into the gallbladder wall and surrounding tissues.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

em·phy·sem·a·tous cho·le·cys·ti·tis

cholecystitis due to infection with gas-producing bacteria, giving rise to gas in the gallbladder.
Farlex Partner Medical Dictionary © Farlex 2012

emphysematous cholecystitis

Inflammation of the gallbladder due to infection with a gas-producing microorganism, such as Clostridium perfringens.
See also: cholecystitis
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
Miyamoto, "Emphysematous cholecystitis with massive gas in the abdominal cavity," World Journal of Gastroenterology, vol.
Clavien, "Fatal emphysematous cholecystitis caused by clostridium perfringens," Surgery, vol.
Abdominal CT scan is the prime imaging modality to diagnose emphysematous cholecystitis. In emphysematous cholecystitis, gas can obscure gallbladder visualization on ultrasonography.
Our patient developed the exceptional variant of acute emphysematous cholecystitis. She had a known history of melanoma of the back, treated 2 years previously, and was thought to be in remission when abdominal pain occurred.
The authors acknowledge that this case report is partially based on the poster "Metastatic melanoma of the gallbladder presenting as acute emphysematous cholecystitis" by Nicole Grenier, Samir A.
Penny, "Emphysematous cholecystitis: a dearly twist to a common disease," Journal of Diagnostic Medical Sonography, vol.
Terada et al., "Massive pneumoretroperitoneum arising from emphysematous cholecystitis: a case report and the literature review," BMC Gastroenterology, vol.
CONCLUSION: Infection with gas forming organisms and impaired immune protection in diabetics leads to emphysematous pyelonephritis and emphysematous cholecystitis. Rupture of gall bladder and Emphysematous pyelonephritis collection results in pneumoperitoneum.
(1.) Kirchhoff P, Muller V, Petrowsky H, Clavien PA: Fatal emphysematous cholecystitis caused by Clostridium perfringens.
(2.) Moanna A, Bajaj R, Del Rio C: Emphysematous cholecystitis due to Salmonella derby.
(3.) Catalano O, Nunziata A, Siani A: Emphysematous cholecystitis as a cause of retroperitoneal air.