Emphysematous cholecystitis

Topic Completed: 1 September 2012

Revised: 5 September 2019

Copyright: 2003-2019,, Inc.

PubMed Search: Emphysematous cholecystitis gallbladder

Hanni Gulwani, M.B.B.S.
Page views in 2018: 1,056
Page views in 2019 to date: 981
Cite this page: Gulwani H. Emphysematous cholecystitis. website. Accessed September 18th, 2019.
Definition / general
  • 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

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Transmural infarction and hemorrhagic necrosis

Perforation within
a large area of

Microscopic (histologic) images

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Multiple areas of gas (long arrows) in wall

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