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
Transmural infarction and hemorrhagic necrosis
Perforation within a large area of transmural necrosis
Multiple areas of gas (long arrows) in wall
● Radiographics 2002;22:543,
ANZ J Surg 2011;81:106,
Am J Surg 2010;200:e53
End of Gallbladder > Cholecystitis > Emphysematous cholecystitis
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