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Emphysematous cholecystitis

Reviewer: Hanni Gulwani, M.D. (see Reviewers page)
Revised: 11 February 2013, last major update September 2012
Copyright: (c) 2003-2013, PathologyOutlines.com, Inc.


● Rare form of acute cholecystitis with gas in gallbladder wall, associated with diabetes and peripheral atherosclerotic disease
● 2/3 men, usually 50-70 years old, diagnosed with ultrasonographic studies
● May be due to vascular compromise of cystic artery
● Associated with acalculous disease, gallbladder perforation, Clostridium welchii and E. coli infection

Gross images

Transmural infarction and hemorrhagic necrosis

Perforation within a large area of transmural necrosis

Micro images

Multiple areas of gas (long arrows) in wall

Additional references

Radiographics 2002;22:543, ANZ J Surg 2011;81:106, CMAJ 2012;184:E81, Am J Surg 2010;200:e53

End of Gallbladder > Cholecystitis > Emphysematous cholecystitis

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