Comprehensive Approach to Emphysematous Cholecystitis: A Case Series

Authors

  • Alejandro García Hevia General Surgery Department of Sanatorio Diagnóstico. https://orcid.org/0000-0002-3383-9406
  • César Maragno General Surgery Department of Sanatorio Diagnóstico. https://orcid.org/0000-0002-7944-1102
  • José Brizuela General Surgery Department of Sanatorio Diagnóstico.
  • Pablo Fernández General Surgery Department of Sanatorio Diagnóstico.
  • Virginia Canga General Surgery Department of Sanatorio Diagnóstico.
  • Jorge Obeid General Surgery Department of Sanatorio Diagnóstico.

DOI:

https://doi.org/10.52787/agl.v53i2.314

Keywords:

Emphysematous cholecystitis, videolaparoscopic cholecystectomy, percutaneous cholecystostomy, computed tomography

Abstract

Introduction. Emphysematous cholecystitis is a rare form of acute cholecystitis.

Case series. We present four patients aged 55 and 79 years old (three men and one woman). One of the patients had no pathological history, while the others were diabetic. All of them underwent a computed tomography scan. Two patients underwent videolaparoscopic cholecystectomy with good evolution, while the other two underwent percutaneous cholecystostomy.

Discussion. Emphysematous cholecystitis is the presence of gas in the lumen or wall of the gallbladder. The morbidity rate is 50%. Patients usually suffer from diabetes, but it may occur in younger patients without risk factors. Computed tomography is the method of choice for diagnosis. The definitive treatment is videolaparoscopic cholecystectomy, although the percutaneous cholecystostomy is another valid option.

Conclusions. Videolaparoscopic cholecystectomy is considered an effective and safe approach for the treatment of emphysematous cholecystitis.

References

-1. Hideki Katagiri, Yasuo Yoshinaga, Yukihiro Kanda and Ken Mizokami. Emphysematous cholecystitis successfully treated by laparoscopic Surgery. JSCR 2014; DOI:10.1093/jscr/rju027

-2. Garcia-Sancho Tellez L, Rodriguez-Montes JA, Fernandez de Lis S, et al. Acute emphysematous cholecystitis. Report of twenty cases. Hepatogastroenterology 1999;46:2144-8.

-3. Bouras G, Lunca S, Vix M, Marescaux J. A case of emphysematous cholecystitis managed by laparoscopic surgery. JSLS 2005;9:478-80.

-4. Carrascosa MF, Salcines-Caviedes JR. Emphysematous cholecystitis. CMAJ 2012;184:E81.

-5. Fernando Escobar, Neil Valentín Vega, Eduart Iván Valbuena. Colecistitis enfisematosa, revisión bibliográfica y presentación de tres casos. Rev Colomb Cir. 2015;30:106-11.

-6. Ming-Yu Chen, MD, Chen Lu, MD, Yi-fan Wang, MD, Xiu-Jun Cai, MD, PhD. Emphysematous cholecystitis in a young male without predisposing factors. Chen et al. Medicine (2016) 95:44.

-7. Delgado-Plasencia L, González-García I, Rodríguez-González D, Torres-Monzón AE. Pneumomediastinum as a complication of emphysematous cholecystitis: Case report. BMC Gastroen-terol. 2010;10:99.

-8. Domínguez L, Herrera W, Rivera A, Bermúdez C. Colecistectomía de urgencia por laparoscopia por colecistitis aguda en adultos mayores. Rev Colomb Cir. 2011;26:93-100. 8. Madrinan GM, Fraguela MJ, Acea NB, Taboada FL, Blanco FMN, Fernandez BC, et al. Emphysematous cholecystitis. Diagnosis, clinical course, and treatment. Rev Esp Enferm Dig. 1999;91:853-6

-9. Sunnapwar A, Raut AA, Nagar AM, Katre R. Emphysematous cholecystitis: Imaging findings in the nine patients. Indian J Radiol Imaging. 2011;21:142-6.

-10. Peñalver A, Terrer E, Fernández F, Martínez P. Emphysematous cholecystitis. Cir Esp. 2013;91:e29.

-11. Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ and et. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):41-54. DOI: 10.1002/jhbp.515. Epub 2018 Jan 9.

-12. Kiran maddu1 Sonia Phadke1 Carrie Hoff1. Complications of cholecystitis: a comprehensive contemporary imaging review. American Society of Emergency Radiology 2021 [online]. 20/03/2023 DOI: 10.1007/s10140-021-01944-z

-13. Okamoto K, Suzuki K, Takada T, Strasberg SM, Asbun HJ, Endo I and et. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):55-72. DOI: 10.1002/jhbp.516. Epub 2017 Dec 20.

-14. Abdelsaid K, Hassan M, Jayasankar B, et al. (February 02, 2023) Percutaneous Cholecystostomy in Severe Acute Cholecystitis: An Observational Study From a Single Institute. Cureus 15(2): e34539. DOI 10.7759/cureus.34539

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Published

2023-06-30

How to Cite

García Hevia, A., Maragno, C., Brizuela, J., Fernández, P., Canga, V., & Obeid, J. (2023). Comprehensive Approach to Emphysematous Cholecystitis: A Case Series. Acta Gastroenterológica Latinoamericana, 53(2), 175–180. https://doi.org/10.52787/agl.v53i2.314

Issue

Vol. 53 No. 2 (2023): Acta Gastroenterológica Latinoamericana

Section

Original Articles

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Copyright (c) 2023 Alejandro García Hevia, César Maragno, José Brizuela, Pablo Fernández, Virginia Canga, Jorge Obeid

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