title: Upper gastrointestinal bleeding related to emphysematous cholecystitis due to Clostridium perfringens.
abstract: We describe the case of a 46-year-old man admitted for upper gastrointestinal bleeding in the context of cirrhosis. A deep bleeding duodenal ulcer was treated by sclerotherapy. Abdominal pain and fever lead us to perform an abdominal computed tomography, which demonstrated emphysematous cholecystitis. An emergency cholecystectomy was performed and antimicrobial therapy initiated. The patient recovered uneventfully. Links between ulcers and emphysematous cholecystitis are discussed.
authors: Critical Care Department, Brugmann University Hospital, Place A. Van Gehuchten, Brussels, Belgium.
authors: Philippe
authors: P
authors: Gottignies
authors: Didier
authors: D
authors: Hossey
authors: Luc
authors: L
authors: Lasser
authors: Soraya
authors: S
authors: Cherifi
authors: Jacques
authors: J
authors: Devriendt
authors: David
authors: D
authors: De Bels
mesh_terms: D002763:Cholecystectomy; D003015:Clostridium Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D003016:Clostridium perfringens; D004381:Duodenal Ulcer / Q000150:complications; D041882:Emphysematous Cholecystitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D041742:Upper Gastrointestinal Tract / Q000000981:diagnostic imaging* / Q000601:surgery