title: Acute emphysematous cholecystitis as a cause of pneumoperitoneum.
abstract: The authors report a rare case of acute emphysematous cholecystitis with pneumoperitoneum. Emphysematous cholecystitis is an uncommon variant of acute cholecystitis. Association with pneumoperitoneum is very rare and the finding of a macroscopic perforation of the gallbladder is possible only in a few cases. A review of the literature revealed 15 other cases of this combination. Diagnostic options and treatment modalities in these patients are discussed here.
authors.affiliation: Department of Emergency, Rome La Sapienza University, Azienda Policlinico Umberto I, Rome.
authors.forename: Claudio
authors.initials: C
authors.lastname: Modini
authors.forename: Ilaria
authors.initials: I
authors.lastname: Clementi
authors.forename: Luigi
authors.initials: L
authors.lastname: Simonelli
authors.forename: Angelo
authors.initials: A
authors.lastname: Antoniozzi
authors.forename: Marco
authors.initials: M
authors.lastname: Assenza
authors.forename: Flavia
authors.initials: F
authors.lastname: Ciccarone
authors.forename: Piero
authors.initials: P
authors.lastname: Bartolucci
authors.forename: Gabriele
authors.initials: G
authors.lastname: Ricci
authors.forename: Roberta
authors.initials: R
authors.lastname: Petroni
mesh_terms: D000208:Acute Disease; D000368:Aged; D041882:Emphysematous Cholecystitis / Q000150:complications*; D005260:Female; D006801:Humans; D011027:Pneumoperitoneum / Q000209:etiology*