44 Emphysematous cholecystitis Fig. 44.1A This patient has a dilated viscus with surrounding punctate air in its wall. The CT scan confirmed emphysematous cholecystitis. Note the hip replacements and severe degenerative changes in the spine. (With thanks to Dr J.C. Jobling for kindly providing the radiograph.) Background This refers to infection of the gallbladder with gas-forming organisms. It is a rare condition but carries a high mortality, in the region of 20%. It is commoner in elderly males and tends to be associated with diabetes. The gallbladder can perforate as a complication. Clinical features Symptoms and signs are similar to those of acute cholecystitis, with right upper quadrant pain and tenderness which may be accompanied by fever and tachycardia. Gallbladder perforation may lead to peritonitis. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Large bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join Tags: On-Call X-Rays Made Easy Aug 20, 2016 | Posted by admin in ULTRASONOGRAPHY | Comments Off on Emphysematous cholecystitis Full access? Get Clinical Tree
44 Emphysematous cholecystitis Fig. 44.1A This patient has a dilated viscus with surrounding punctate air in its wall. The CT scan confirmed emphysematous cholecystitis. Note the hip replacements and severe degenerative changes in the spine. (With thanks to Dr J.C. Jobling for kindly providing the radiograph.) Background This refers to infection of the gallbladder with gas-forming organisms. It is a rare condition but carries a high mortality, in the region of 20%. It is commoner in elderly males and tends to be associated with diabetes. The gallbladder can perforate as a complication. Clinical features Symptoms and signs are similar to those of acute cholecystitis, with right upper quadrant pain and tenderness which may be accompanied by fever and tachycardia. Gallbladder perforation may lead to peritonitis. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related posts: Permanent pacemakers Gastric outlet obstruction Caecal volvulus Large bowel obstruction Brodie’s abscess Slipped upper femoral epiphysis Stay updated, free articles. Join our Telegram channel Join
