Pneumomediastinum as a complication of emphysematous cholecystitis: Case report

BMC Gastroenterology

Case Report

Diana Rodríguez-González¹  Luciano Delgado-Plasencia¹  Ignacio González-García²  Esther Torres-Monzón A² 

[1]Department of General Surgery, University Hospital of Canary Islands, Ofra s/n, La Cuesta, 38320, Santa Cruz de Tenerife, Spain

[2]Department of Radiology, University Hospital of Canary Islands, Ofra s/n, 38320, Santa Cruz de Tenerife, Spain

关键词: Cholecystitis;    Subcutaneous Tissue;    Acute Cholecystitis;    Open Cholecystectomy;    Subcutaneous Emphysema;   

DOI  :  10.1186/1471-230X-10-99

 received in 2010-06-13, accepted in 2010-09-02,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundEmphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum.Case presentationWe present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.ConclusionEmphysematous cholecystitis should be considered as a possible cause of pneumomediastinum.

【 授权许可】

Unknown   
© Delgado-Plasencia et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.