title: Acute emphysematous cholecystitis preceded by symptoms of ileus: report of a case.
abstract: We herein describe a case of acute emphysematous cholecystitis in which the patient presented with symptoms of ileus. The patient was a 72-year-old man with no history of diabetes mellitus. He presented with epigastric pain, vomiting, and low-grade fever. Plain abdominal radiography showed some intestinal gas and niveau, and he was admitted to our hospital with a diagnosis of ileus. The next day, the abdominal pain increased and was accompanied by muscular defense. Plain radiography and computed tomography of the abdomen were carried out, and an emergency laparotomy was performed under a diagnosis of panperitonitis due to a perforation of the gallbladder caused by acute emphysematous cholecystitis. The patient made favorable progress after the operation and was discharged on postoperative day 14. Percutaneous transhepatic gallbladder drainage has been increasingly performed for the treatment of acute emphysematous cholecystitis. but when a perforation of the gallbladder is suspected, a laparotomy first should be considered.
authors: Department of Surgery, Akita University School of Medicine, Japan.
authors: Norihito
authors: N
authors: Ise
authors: Hideaki
authors: H
authors: Andoh
authors: Tomoki
authors: T
authors: Furuya
authors: Tsutomu
authors: T
authors: Sato
authors: Ouki
authors: O
authors: Yasui
authors: Masato
authors: M
authors: Yoshioka
authors: Masatake
authors: M
authors: Iida
authors: Tomokazu
authors: T
authors: Takahashi
authors: Hitoshi
authors: H
authors: Kotanagi
authors: Kenji
authors: K
authors: Koyama
mesh_terms: D000208:Acute Disease; D000368:Aged; D002764:Cholecystitis / Q000150:complications* / Q000175:diagnosis; D004646:Emphysema / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male