Advertisement
Visual diagnosis in emergency medicine| Volume 41, ISSUE 4, P400-401, October 2011

Download started.

Ok

Emphysematous Cholecystitis: Don't Be Lulled Into Complacency

      A 53-year-old man presented to our Emergency Department complaining of right upper quadrant pain and anorexia of 1 day's duration. He had no significant medical or surgical history. There was no history of diabetes mellitus. He was unaware of having any gallstones, and had no previous biliary symptoms. On presentation he was afebrile, with stable vital signs, but with a persistent sinus tachycardia of 120–130 beats/min. The right upper quadrant was tender to palpation with a positive Murphy's sign.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Stoltz A.
        Uber Gasbildund in den Gallenwag [German].
        Virchow Arch A Pathol Anat Histopathol. 1901; 165: 90-95
        • Lallemand B.
        • De Keuleneer R.
        • Maassarani F.
        Emphysematous cholecystitis.
        Acta Chir Belg. 2003; 103: 230-232
        • Mentzer Jr, R.M.
        • Golden G.T.
        • Chandler J.G.
        • et al.
        A comparative appraisal of emphysematous cholecystitis.
        Am J Surg. 1975; 129: 10-15
        • Shea J.A.
        • Berlin J.A.
        • Escarce J.J.
        • et al.
        Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease.
        Arch Intern Med. 1994; 154: 2573-2581