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Pneumoperitoneum due to Emphysematous Cholecystitis

Kyung Sook Hong, Bo-Young Oh, Ryung-Ah Lee
The Ewha Medical Journal 2013;36(2):153-155. Published online: September 26, 2013

Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Ryung-Ah Lee, Department of Surgery, Ewha Womans University School of Medicine, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel: 82-2-2650-2659, Fax: 82-2-2644-7984, ralee@ewha.ac.kr
• Received: August 2, 2013   • Accepted: August 9, 2013

Copyright © 2013. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • 1. Miyahara H, Shida D, Matsunaga H, Takahama Y, Miyamoto S. Emphysematous cholecystitis with massive gas in the abdominal cavity. World J Gastroenterol 2013;19:604-606.
  • 2. Kanehiro T, Tsumura H, Ichikawa T, Hino Y, Murakami Y, Sueda T. Patient with perforation caused by emphysematous cholecystitis who showed flare on the skin of the right dorsal lumbar region and intraperitoneal free gas. J Hepatobiliary Pancreat Surg 2008;15:204-208.
  • 3. Zeebregts CJ, Wijffels RT, de Jong KP, Peeters PM, Slooff MJ. Percutaneous drainage of emphysematous cholecystitis associated with pneumoperitoneum. Hepatogastroenterology 1999;46:771-774.
  • 4. Modini C, Clementi I, Simonelli L, Antoniozzi A, Assenza M, Ciccarone F, et al. Acute emphysematous cholecystitis as a cause of pneumoperitoneum. Chir Ital 2008;60:315-318.
  • 5. Shrestha Y, Trottier S. Images in clinical medicine. Emphysematous cholecystitis. N Engl J Med 2007;357:1238.
  • 6. Wu JM, Lee CY, Wu YM. Emphysematous cholecystitis. Am J Surg 2010;200:e53-e54.
Fig. 1
Preoperative abdominal ultrasonography. (A) More than 10 cm sized cystic mass is identified at adjacent to lateral segment of liver. (B) Small stones and sludge are visible in distended gallbladder.
emj-36-153-g001.jpg
Fig. 2
Preoperative abdominal computed tomography. (A) Fluid collection with air-fluid level and extraluminal air density (white arrow) are identified in superior recess and lesser sac and peritonitis due to gastric ulcer perforation is suspicious. (B) There are gallstones with diffuse gallbladder wall thickening and distal common bile duct stone with bile duct dilatation. (C) Coronal view.
emj-36-153-g002.jpg
Fig. 3
Postoperative abdominal computed tomography. The patient is cholecystectomy status. Fluid collection with air-fluid level and ex
emj-36-153-g003.jpg

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      Pneumoperitoneum due to Emphysematous Cholecystitis
      Ewha Med J. 2013;36(2):153-155.   Published online September 26, 2013
      DOI: https://doi.org/10.12771/emj.2013.36.2.153
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      Pneumoperitoneum due to Emphysematous Cholecystitis
      Ewha Med J. 2013;36(2):153-155.   Published online September 26, 2013
      DOI: https://doi.org/10.12771/emj.2013.36.2.153
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      Pneumoperitoneum due to Emphysematous Cholecystitis
      Image Image Image
      Fig. 1 Preoperative abdominal ultrasonography. (A) More than 10 cm sized cystic mass is identified at adjacent to lateral segment of liver. (B) Small stones and sludge are visible in distended gallbladder.
      Fig. 2 Preoperative abdominal computed tomography. (A) Fluid collection with air-fluid level and extraluminal air density (white arrow) are identified in superior recess and lesser sac and peritonitis due to gastric ulcer perforation is suspicious. (B) There are gallstones with diffuse gallbladder wall thickening and distal common bile duct stone with bile duct dilatation. (C) Coronal view.
      Fig. 3 Postoperative abdominal computed tomography. The patient is cholecystectomy status. Fluid collection with air-fluid level and ex

      Fig. 1

      Fig. 2

      Fig. 3

      Pneumoperitoneum due to Emphysematous Cholecystitis
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