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Case of Emphysematous Cholangitis Caused by Gas-producing Bacteria with an Initial Literature Review.
Intern 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 PDFArticle Synopsis
- Gas in gallstones is a rare radiological finding and can indicate other conditions like biliary-enteric fistula and gas-forming infections.
- The presence of gas in the gallbladder often raises concern for emphysematous cholecystitis, a serious condition.
- This condition requires quick diagnosis and treatment because it can progress rapidly and has a high risk of mortality.
Secondary Sclerosing Cholangitis After Emphysematous Cholecystitis.
ACG Case Rep J
March 2023
Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
A 64-year-old woman was diagnosed with emphysematous cholecystitis. An open cholecystectomy was performed immediately. After the cholecystectomy, jaundice and multiple bile duct strictures that were not present preoperatively appeared.
View Article and Find Full Text PDFClostridium perfringens and Escherichia coli Bacteremia in a Patient with Acute Obstructive Suppurative Cholangitis: A Case Report and Review of the Literature.
Am J Case Rep
May 2022
Department of General Surgery, Shanghai Gongli Hospital, The Second Military Medical University, Shanghai, China (mainland).
Article Synopsis
- Clostridium perfringens (CP) is a gram-positive bacteria linked to serious conditions like necrotic enteritis and gangrene, but it rarely co-infects with other bacteria, such as E. coli, in the bloodstream, which can be deadly.
- A 74-year-old man with acute abdominal pain developed severe symptoms, including jaundice and shock, and was diagnosed with acute obstructive suppurative cholangitis (AOSC) after a CT scan.
- The patient was treated with antibiotics and underwent gallbladder drainage, leading to a successful recovery, highlighting the importance of considering anaerobic and aerobic co-infections in clinical settings.
Mycotic Aortic Arch Aneurysm Caused by Clostridium perfringens.
Cureus
January 2022
Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, JPN.
We report a case of a 79-year-old man for a mycotic aortic arch aneurysm caused by . The patient who had been hospitalized for cholangitis two months prior revisited the hospital for fever and left precordial pain. He was suspected of an infected aortic aneurysm in the distal arch due to emphysematous changes observed.
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