Abstract：
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.
摘要：
据报道，在所有急性胆囊炎病例中，气肿性胆囊炎的发病率均低于1％，但死亡率却高达15％。最常见于高龄的男性糖尿病患者。诊断是在胆囊腔内和/或壁内存在气体，这可以在腹部平片上看到。腹部超声，和腹部计算机断层扫描。临床表现为急性胆囊炎，但治疗需要及时进行胆囊切除术，因为患者的病情可能由于胆囊穿孔的可能性而恶化。我们介绍了一例71岁的女性糖尿病患者，患有结石性肺气肿性胆囊炎，并接受了紧急开腹胆囊切除术。
