Abstract
Emphysematous cholecystitis that is caused by gas-producing bacteria is a reratively rare entity in which the gallbladder or gallbladder wall contains gas. This paper presents a case emphysematous cholecystitis associated with pneumobilia and intraabdominal free air, together with a review of the literature. An 81-year-old man was admitted to the hospital because of appetite loss and abdominal fullness. Blood studies showed severe inflammation and jaundice without liver injury. There was no tenderness nor muscle gurding. Abdominal CT scan showed gas in the gallbladder, intrahepatic bile duct and right subphrenic space. With a diagnosis of acute emphysematous cholecystitis, an emergency operation was done because the patient was in a preseptic state and the wall of gallbladder was thin and weak. Histological examination of the gallbladder showed necrosis without cholecystlitiasis. Postoperative course was uneventfull, and the patient was discharged from the hospital 16 days after the operation.
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