Misir Ashminie P, Vahora Ilma, Unbehaun Gabrielle, Patel Chandni, Tiesenga Frederick
General Surgery, St. George's University School of Medicine, Chicago, USA.
General Surgery, West Suburban Medical Center, Chicago, USA.
Cureus. 2023 Feb 17;15(2):e35123. doi: 10.7759/cureus.35123. eCollection 2023 Feb.
Emphysematous cholecystitis is a rare infection of the gallbladder that stems from acute cholecystitis. It can rapidly progress and perforate the gallbladder, which would require urgent surgical intervention. A perforated gallbladder can be diagnosed using an abdominal computed tomography by confirming the presence of air in the gallbladder lumen with adjacent extraluminal air. The causes of ruptured emphysematous cholecystitis include, but are not limited to, diabetes, atherosclerotic changes in blood vessels, and infection with , and is usually present in diabetic men. We report on a 57-year-old female who developed gall bladder perforation with an overflow of gallstones into the peritoneum without a history of diabetes or atherosclerotic disease. Due to the vast availability of computerized tomography and early surgical intervention, the rate of mortality due to perforated emphysematous cholecystitis has decreased over the last few decades.
气肿性胆囊炎是一种源于急性胆囊炎的罕见胆囊感染。它可迅速进展并导致胆囊穿孔，这需要紧急手术干预。通过腹部计算机断层扫描确认胆囊腔内存在气体以及相邻的腔外气体，可诊断出胆囊穿孔。气肿性胆囊炎破裂的原因包括但不限于糖尿病、血管的动脉粥样硬化改变以及感染，且通常见于患有糖尿病的男性。我们报告了一名57岁女性，她发生了胆囊穿孔，胆结石溢入腹膜，但无糖尿病或动脉粥样硬化疾病史。由于计算机断层扫描的广泛应用和早期手术干预，在过去几十年中，气肿性胆囊炎穿孔导致的死亡率有所下降。
