Sonographic Non-Visualization of the Gallbladder: A Pitfall in Diagnosis of Emphysematous Cholecystitis
نویسنده
چکیده
Emphysematous cholecystitis is an uncommon complication of calculous cholecystitis due to secondary infection of gallbladder wall with gas-forming enteric organisms. It carries high morbidity and mortality to the patients and a rapid and early diagnosis is essential in patient’s clinical outcomes. Ultrasonography is usually the first and foremost test performed in cases of suspected biliary diseases. Herein, we describe a diagnostic pitfall of ultrasound in a patient with emphysematous cholecystitis – non-visualization of gallbladder, caused by reverberations from air in the gallbladder wall.
منابع مشابه
Peritonitis and pneumoperitoneum due to emphysematous cholecystitis: a case report
Background: Emphysematous cholecystitis is a rare variant of acute cholecystitis with high mortality and morbidity rate. Emphysematous cholecystitis most often occurs in older men and Emphysematous cholecystitis often occurs in patients with chronic diseases such as diabetes and vascular disease. The combination of emphysematous cholecystitis and pneumoperitoneum is even rarer. In this study, w...
متن کاملبررسی تغییرات سونوگرافیک کبد و کیسه صفرا در بیماران مبتلا به هپاتیت حاد ویروسی
Hepatomegaly, decrease in the liver paranchymal echo and increase in the gallbladder wall thickness has been shown in acute viral hepatitis. The present study was done to determine sonographic changes in acute viral hepatitis. We performed liver and bile ducts sonography and specific tests on 42 patients (mean age: 31.5 and 61% male) with acute viral hepatitis. Gallbladder wall thickness was se...
متن کاملAcute Emphysematous Cholecystitis.
Emphysematous cholecystitis is a rare form of acute cholecystitis, characterized radiographically by the presence of gas within the gallbladder. We report of a patient, who was admitted to the hospital with the diagnosis of acute abdomen. This patient had an emphysematous cholecystitis caused by Clostridium perfringens. We found the wall of the gallbladder emphysematous and gangrenous, the gall...
متن کاملPost-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder per...
متن کاملAcute torsion of the gallbladder:a report of two cases
gallbladder torsion is a rare surgical emergency that can not be differentiated from acute cholecystitis.this condition occurs primarily in elderly women,although it may be encountered in early adulthood of both sexes.the anatomic background is based on variation in the attachment of the gallbladder to the inferior surface of the liver,if a patient with the diagnosis of acute cholecystitis dose...
متن کامل