The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
TWO CASES OF EMPHYSEMATOUS CHOLECYSTITIS AND REVIEW OF 81 CASES FOUND IN THE JAPAN LITERATURE
Nobuo SAOYAMAHiiru YOSHIDAHiroshi MASUDAYou TSUDAKohzo INUIKensuke KAWATAShoji SAKIYAMAYoshio FUKADAMasahiro OHURA
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Volume 51 (1990) Issue 5 Pages 1031-1037

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Abstract

Two cases of emphysematous cholecystitis are reported together with a review of 81 cases of this disease in Japan.
Case 1 was a 93-year-old man complaining of right hypochondreal pain, vomiting, and fever, and case 2 a 70-year-old woman having recurrent nausea and vomiting. In these 2 cases, abdominal CT examination confirmed the presence of gas in the gallbladder.
Case 1 underwent cholecystostomy, while case 2 cholecystectomy performed. Both cases have aculculas Case 1 underwent cholecystostomy, while case 2 cholecystectomy performed. Both cases have aculculas Case 1 underwent cholecystostomy, while case 2 cholecystectomy performed. Both cases have aculculas condition that intestinal gas and digestive contents easily reflexed to the bile duct.
Ischemic change of the gallbladder wall is considered an important factor for the onset of the disease, because Ischemic change of the gallbladder wall is considered an important factor for the onset of the disease, because of the gallbladder; and sometimes occurs in patients with vascular diseases (DM, HT, myocardial infalction) or in patients following gastrectomy.

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