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Advances in Imaging and Diagnosis of Emphysematous Cholecystitis.

Emphysematous cholecystitis is a rare but severe variant of acute cholecystitis characterized by gas-forming organisms within the gallbladder wall or lumen. It progresses rapidly and carries substantial mortality, making early and accurate recognition essential. Although its pathogenesis involves gallbladder wall ischemia with superimposed infection by gas-producing bacteria-most commonly Clostridium species-the clinical presentation is often nonspecific, particularly in patients with diabetes mellitus or immunosuppression. Imaging therefore serves as the cornerstone of diagnosis. Abdominal ra…

Обманчиво тихий случай гангренового холецистита.

Острый гангренозный холецистит является серьезным осложнением острого холецистита. Мы сообщим: 70-year-old мужского пола с типом 1 Болезненный диабет, у которого была неразрешимая рвота без боли в животе. КТ выявила уплотнение стенки желчного пузыря и заботу о перфорации желчного пузыря. Пациент прошел лапароскопическую холецитектомию, которая выявила гангренный желчный пузырь с окружающим его грубым дренажом. Пациент вылечился после длительного курса в больнице. Это дело подчеркивает важность рассмотрения нетипичных представлений о тяжелой внутриабдоминальной патологии у больных диабетом.

Совпадение в аннотации оригинала
Acute gangrenous cholecystitis is a severe complication of acute cholecystitis. We report a 70-year-old male with type 1 diabetes mellitus who presented with intractable vomiting without abdominal pain. CT imaging showed gallbladder wall thickening and concern for gallbladder perforation. Patient underwent a laparoscopic cholecystectomy, which revealed a gan…

[Cholecystitis as the first manifestation of metastatic melanoma].

BACKGROUND: The incidence of invasive melanomas increases annually by 3-4%; for melanoma in situ, even by 6-7%. While metastases most commonly occur in the skin, lungs, liver, and brain, abdominal spread, including to the gallbladder, is not uncommon. CASE DESCRIPTION: We present a 59-year-old man with a previously treated melanoma on the scalp. He presented with recurrent abdominal pain and a history of melaena. Due to suspicion of cholecystitis, he underwent emergency surgery, which revealed a gallbladder metastasis of the melanoma. CONCLUSION: Gastrointestinal metastases of melanoma are f…

Acalculous cholecystitis- an imaging and therapeutic update.

In this review, we highlight current understanding of the pathogenesis of acalculous cholecystitis, as well as its key imaging and clinical features. We also review what happens after a diagnosis and outline current interventional methods.

Cholecystitis due to gallbladder volvulus in a child.

Gallbladder volvulus (GV) involves the rotation of the gallbladder along its axis, resulting in torsion. This pathology is rare, more common … this report, we present a pediatric case of GV, initially misdiagnosed as viral-induced acalculous cholecystitis, which was effectively managed using laparoscopic cholecystectomy.

Emphysematous cholecystitis in a patient with porcelain gallbladder.

Our case uniquely presents a patient with two rare gallbladder disease entities occurring simultaneously. The patient presented to hospital with abdominal pain and was subsequently diagnosed with emphysematous cholecystitis and porcelain gallbladder. After initial conservative management failed, cholecystectomy was performed, and the patient recovered well post-operatively and was discharged home.

[Cholangitis and cholecystitis: diagnostic criteria and management].

In developed countries, diseases of the gallbladder and the biliary tract count as some of the most frequent gastrointestinal disorders. The inflammation of the gallbladder/biliary tree is a potentially severe, even lethal condition that requires rapid diagnosis and early multidisciplinary approach to be treated. Although the frequency of these diseases is high, the treatment is not unified in Hungary yet. The aim of the evidence-based recommendation is to clarify the diagnostic criteria and severity grading of these diseases and to highlight the indications and rules of proper application of

Air in gallbladder: Emphysematous cholecystitis or else?

Gas in gallstones represents a rare but well described radiological finding. Other causes of gas in gallbladder include biliary-enteric fistula, sphincterotomy, gas forming organisms cholangitis. However, gas in gallbladder raises suspicion of emphysematous cholecystitis which necessitates prompt diagnosis and management due to its rapid clinical course and high mortality rate.