关键词: Abdominal imaging Acute emphysematous cholecystitis Computed tomography scan Gangrenous Cholecystitis

来  源:   DOI:10.1016/j.radcr.2024.01.084   PDF(Pubmed)

Abstract:
Emphysematous cholecystitis is a potentially life-threatening variant of acute cholecystitis, characterized by the presence of gas in the gallbladder wall/lumen due to the proliferation of gas-producing bacteria. Symptoms include upper right quadrant pain, fever, nausea, and vomiting. Laboratory tests may show nonspecific indications of systemic infection, and radiological assessment, especially CT scanning, is crucial for diagnosis. This case underscores the significance of early diagnosis and intervention in managing emphysematous cholecystitis to prevent serious complications and reduce the higher mortality rate compared to acute cholecystitis.
摘要:
气肿性胆囊炎是急性胆囊炎的潜在威胁生命的变种,特征在于由于产气细菌的增殖而在胆囊壁/管腔中存在气体。症状包括右上象限疼痛,发烧,恶心,和呕吐。实验室检查可能显示全身性感染的非特异性指征,和放射学评估,尤其是CT扫描,对诊断至关重要。与急性胆囊炎相比,该病例强调了早期诊断和干预在治疗气肿性胆囊炎以预防严重并发症并降低较高死亡率方面的重要性。
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