Acute Emphysematous Cholecystitis Rarely Accompanied by Necrotized Cystic Duct: A Case Report

Öz

Emphysematous cholecystitis is an acute abdominal disease characterized by gas in the gallbladder lumen and wall. Emphysematous cholecystitis and related cystic duct necrosis are rare, but if not noticed, they can cause a mortal picture up to perforation and sepsis. In this article, we present a case of emphysematous cholecystitis involving gangrenous gallbladder and necrotizing cystic duct, which developed suddenly in an immunosuppressive patient who presented to the emergency department with abdominal pain and was treated with rapid emergency successful surgery.

Anahtar Kelimeler

• Abdominal pain
• emergency surgery
• emphysematous cholecystitis
• gangrenous cholecystitis
• necrotizing cystic duct

Kaynakça

1. Villalba JS, Inés CG, Mónica MG. Acute emphysematous cholecystitis due to clostridium perfringens: a rare entity requiring aggressive and early treatment. Rev Esp Enferm Dig 2022; 114(6): 357-8.
2. Vera V, Sharma A, Townson AT, Azeem Q, Malam Y, Mathews J. Emphysematous cholecystitis in a patient with porcelain gallbladder. J Surg Case Rep 2023; 2023(1): rjac600.
3. Pulle MV, Mittal T, Dey A, Malik VK. Emphysematous cholecystitis: rare scenario revisited. Indian J Surg 2019; 81: 298-9.
4. Liao CY, Tsai CC, Kuo WH, Ben RJ, Lin HC, Lee CC et al. Emphysematous cholecystitis presenting as gas-forming liver abscess and pneumoperitoneum in a dialysis patient: a case report and review of the literatüre. BMC Nephrol 2016; 17(1): 1-8.
5. Xiao Y, Salem R, Maula S, Belanger C, Tiesenga F. Spontaneous Gallbladder Perforation: A Case Report. Cureus 2022; 14(12).
6. Chen MY, Lu C, Wang Y, Cai XJ. Emphysematous cholecystitis in a young male without predisposing factors: a case report. Medicine 2016; 95(44): e5367.
7. Mechineni A, Manickam R, Singh B. Emphysematous cholecystitis: A deadly disguise of a common culprit. Clin Case Rep 2021;9:e04341.
8. Safwan M, Penny SM. Emphysematous cholecystitis: a deadly twist to a common disease. J Diagn Med Sonogr 2016;2(3):131-7.

9. Jensen CT, Blair KJ, Le O, Sun J, Wei W, Korivi BR et al. Utility of CT oral contrast administration in the emergency department of a quaternary oncology hospital: diagnostic implications, turnaround times, and assessment of ED physician ordering. Abdominal Radiology 2017; 42:2760-8.
10. Schiappacasse G, Soffia P, Silva C, Villacres F. Computed tomography imaging of complications of acute cholecystitis. Indian J Radiol Imaging 2018;28(02):195-9.
11. Yamaguchi T. Detecting emphysematous cholecystitis using plain radiograph. Erciyes Med J 2022;0(0):0.
12. Katagiri H, Yoshinaga Y, Kanda Y, Mizokami K. Emphysematous cholecystitis successfully treated by laparoscopic surgery. J Surg Case Rep 2014;2014:rju027.
13. Chen MY, Lu C, Wang Y, Cai XJ. Emphysematous cholecystitis in a young male without predisposing factors: a case report. Medicine 2016;95:e5367.
14. Vela A, Cantu GGO, Hernández ARM, Rodríquez CGC. Cystic duct necrosis, as a laparoscopic finding. BMJ Case Rep 2021;14:e239340.