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Death due to Sepsis in Emphysematous Cholecystitis

Vol.72 No.3, 2007.3, 250-253 (4 pages)
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Abstract
Emphysematous cholecystitis is an uncommon but life-threatening form of acute cholecystitis that is caused by gasforming organisms such as Clostridia species, Escherichia coli, Klebsiella, and anaerobic streptococci. Emphysematous cholecystitis frequently affects elderly men, and is associated with diabetes mellitus. The risk of gangrene and perforation of the gallbladder is relatively high in emphysematous cholecystitis patients, and there is a 15% mortality compared with the 4% for acute cholecystitis. We report here a case of emphysematous cholecystitis in a 56-year-old woman, who had diabetes for 10 months. The patient presented with right upper abdominal pain and chills. The abdominal plain film showed a mottled gas pattern in the right upper quadrant. The laboratory value revealed massive intravascular hemolysis. The patient deteriorated rapidly during the course of the evaluation and required cardiopulmonary resuscitation. Despite the attempts to resuscitate the patient, she died 9 hours after the onset of symptoms.

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References (18)

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  1. Sarmiento RV , 1966 , Emphysematous cholecystitis. Report of four cases and review of the literature , Arch Surg 93 : 1009 ~ 1014

  2. Lorenz RW , 1990 , Emphysematous cholecystitis: diagnostic problems and differential diagnosis of gallbladder gas accumulations , Hepatogastroenterology 37 (Suppl 2) : 103 ~ 106

  3. Elliot DL , 1984 , Emphysematous cholecystitis following cardiopulmonary resuscitation , Arch Intern Med 144 : 635 ~ 636

  4. Ruby ST , 1983 , Emphysematous cholecystitis. A case report , JAMA 14 : 248 ~ 249

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  6. Nakamura H , 1986 , Emphysematous cholecystitis: complication of hepatic artery embolization , Cardiovasc Intervent Radiol 9 : 152 ~ 153

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  8. Schowengerdt CG , 1972 , Emphysematous cholecystitis following aortography , Am Surg 38 : 274 ~ 277

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  10. Brandon JC , 1988 , Emphysematous cholecystitis: pitfalls in its plain film diagnosis , Gastrointest Radiol 13 : 33 ~ 36

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