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Emphysematous cholecystitis

2010; Elsevier BV; Volume: 200; Issue: 4 Linguagem: Inglês

10.1016/j.amjsurg.2010.01.027

1879-1883

Jin‐Ming Wu, Chih‐Yuan Lee, Yao‐Ming Wu,

Diverticular Disease and Complications

Emphysematous cholecystitis is an uncommon variant of acute cholecystitis, and a communication between biliary ducts and gastrointestinal tract should be evaluated. Making the diagnosis often is straightforward on plain abdominal radiography. Prompt diagnosis of emphysematous cholecystitis is critical, and the standard treatment is emergent cholecystectomy. In severely ill patients, percutaneous cholecystostomy with broad-spectrum antibiotics may be an alternative choice for treatment.