1Ss. Cyril and Methodius University in Skopje, Medical Faculty, Skopje, RN Macedonia.
2Department of General Surgery, General Hospital, Prilep, RN Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2023 Dec 18;44(3):91-96. doi: 10.2478/prilozi-2023-0052. Print 2023 Dec 1.
Emphysematous cholecystitis is reported to have a low incidence of less than 1% in all cases of acute cholecystitis and yet a high mortality rate of up to 15%. It is most commonly seen in male diabetic patients with advanced age. The diagnosis is established with the presence of gas in the gallbladder lumen and/or within its wall which can be seen on plain abdominal radiography, abdominal ultrasound, and abdominal computerized tomography. The clinical presentation refers to one of acute cholecystitis, but the treatment requires prompt cholecystectomy since the patient's condition can deteriorate due to the possibility of gallbladder perforation. We present a case of a 71-year-old female diabetic patient with calculous emphysematous cholecystitis treated with emergency open cholecystectomy.
气肿性胆囊炎的发病率在所有急性胆囊炎病例中低于 1%，但死亡率高达 15%。它最常见于患有糖尿病的老年男性患者。通过腹部平片、腹部超声和腹部计算机断层扫描可以发现胆囊腔内和/或胆囊壁内存在气体来确诊。临床表现类似于急性胆囊炎，但由于可能发生胆囊穿孔，因此需要及时进行胆囊切除术。我们报告了一例 71 岁女性糖尿病患者，患有结石性气肿性胆囊炎，行急诊开腹胆囊切除术治疗。
