Death due to Sepsis in Emphysematous Cholecystitis.
- Author:
Yoon Hee CHOI
1
;
Hyun A BAE
;
Eun Kyung EO
;
Koo Young JUNG
Author Information
1. Department of Emergency Medicine, Eulji University College of Medicine, Korea. like-lemontea@hanmail.net
- Publication Type:Case Report
- Keywords:
Emphysematouscholecystitis,Intravascular hemolysis;
Sepsis
- MeSH:
Abdominal Pain;
Aged;
Cardiopulmonary Resuscitation;
Chills;
Cholecystitis, Acute;
Diabetes Mellitus;
Emphysematous Cholecystitis*;
Escherichia coli;
Female;
Gallbladder;
Gangrene;
Hemolysis;
Humans;
Klebsiella;
Male;
Middle Aged;
Mortality;
Sepsis*
- From:Journal of the Korean Surgical Society
2007;72(3):250-253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Emphysematous cholecystitis is an uncommon but life-threatening form of acute cholecystitis that is caused by gas- forming organisms such as Clostridia species, Escherichia coli, Klebsiella, and anaerobic streptococci. Emphysematous cholecystitis frequently affects elderly men, and is associated with diabetes mellitus. The risk of gangrene and perforation of the gallbladder is relatively high in emphysematous cholecystitis patients, and there is a 15% mortality compared with the 4% for acute cholecystitis. We report here a case of emphysematous cholecystitis in a 56-year-old woman, who had diabetes for 10 months. The patient presented with right upper abdominal pain and chills. The abdominal plain film showed a mottled gas pattern in the right upper quadrant. The laboratory value revealed massive intravascular hemolysis. The patient deteriorated rapidly during the course of the evaluation and required cardiopulmonary resuscitation. Despite the attempts to resuscitate the patient, she died 9 hours after the onset of symptoms.
