Abstract
Background
Emphysematous cholecystitis (EC) is a form of cholecystitis with high mortality rates
more commonly seen in patients with medical histories such as diabetes, hypertension,
and peripheral vascular disease. The common features of these medical diseases are
impaired pain perception, particularly abdominal pain, due to advanced age and peripheral
neuropathies. Accurate evaluation of characteristics observed at ultrasonography,
the method of first choice in the diagnosis of EC, is therefore highly important in
these patients.
Case Report
This study reports a case of the champagne sign, rarely seen in EC, together with
other EC findings.
Why Should an Emergency Physician Be Aware of This?
The champagne sign is a little-known sonographic finding that is evidence of the presence
of gas in the gallbladder. The champagne sign that will be detected while evaluating
the hepatobiliary system on bedside ultrasound is one of the valuable findings in
the diagnosis of emphysematous cholecystitis with high mortality.
Keywords
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References
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Article info
Publication history
Published online: February 24, 2021
Accepted:
January 23,
2021
Received in revised form:
January 15,
2021
Received:
December 16,
2020
Footnotes
Streaming video: Two brief real-time video clips that accompany this article are available in streaming video at www.journals.elsevierhealth.com/periodicals/jem. Click on Video Clips 1 and 2.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
