A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder perforation. ERCP is associated with significant risks, particularly in patients with FBSD, where diagnostic uncertainty renders the balance of risk versus benefit even more critical. Post-ERCP emphysematous cholecystitis secondary to is a rare but potentially fatal complication.
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http://dx.doi.org/10.1155/2017/1971457 | DOI Listing |
Cureus
October 2024
Physical Medicine and Rehabilitation, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Cureus
October 2024
Radiology, Eric Williams Medical Sciences Complex, Port of Spain, TTO.
Emphysematous abdominal infections are regarded as potentially life-threatening conditions and benefit from appropriate radiological imaging for timely diagnosis and treatment planning. A 70-year-old non-diabetic male presented with an acute abdomen and had computed tomography diagnosed emphysematous pancreatitis, cholecystitis, and pyelonephritis. Treatment included broad-spectrum antimicrobial therapy.
View Article and Find Full Text PDFIntern Med
October 2024
Department of Gastroenterology, St. Luke's International Hospital, Japan.
Emphysematous cholecystitis has a poor prognosis and necessitates prompt surgery or drainage. Emphysematous cholangitis (EC) is believed to have a similar clinical course, but reports are limited. We herein report the case of a 79-year-old woman who presented with epigastric pain and was diagnosed with EC.
View Article and Find Full Text PDFIDCases
September 2024
Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Int J Surg Case Rep
October 2024
Gastroenterology Department, Faculty of medicine, Damascus University, Damascus, Syria.
Introduction And Importance: Situs inversus totalis, a rare congenital condition, is characterized by the mirror-image reversal of the abdominal and thoracic organs. Amoebic liver abscess and emphysematous gallbladder are severe gastrointestinal infections. The coexistence of these three conditions is extremely rare.
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