Upper gastrointestinal bleeding related to emphysematous cholecystitis due to Clostridium perfringens.
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.
Gottignies
Philippe
P
Critical Care Department, Brugmann University Hospital, Place A. Van Gehuchten, Brussels, Belgium.
Hossey
Didier
D
Lasser
Luc
L
Cherifi
Soraya
S
Devriendt
Jacques
J
De Bels
David
D
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