Abstract
The clinical course of emphysematous cholecystitis is highly correlated with diabetes, male sex, and age of more than 50 years. Roentgenographic features include luminal and occasionally submucosal gallbladder gas. Clinically, the patient may be jaundiced and frequently has a history of cholecystitis. In most cases, an enlarged mass is palpable in the right upper quadrant of the abdomen, and the patient may be in a more toxic condition than physical signs indicate. Submucosal gallbladder emphysema has grave prognostic importance, as it implies mucosal gallbladder necrosis.
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More From: JAMA: The Journal of the American Medical Association
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