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Pneumomediastinum as a complication of emphysematous cholecystitis: case report
Emphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum. We present a case of emphysematous cholecystitis in a middle-...
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Published in: | BMC gastroenterology 2010-09, Vol.10 (1), p.99-99, Article 99 |
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creator | Delgado-Plasencia, Luciano González-García, Ignacio Rodríguez-González, Diana Torres-Monzón A, Esther |
description | Emphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum.
We present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum. |
doi_str_mv | 10.1186/1471-230X-10-99 |
format | article |
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We present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum.</description><identifier>ISSN: 1471-230X</identifier><identifier>EISSN: 1471-230X</identifier><identifier>DOI: 10.1186/1471-230X-10-99</identifier><identifier>PMID: 20813063</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Care and treatment ; Case Report ; Cholecystectomy ; Cholecystitis ; Complications and side effects ; Development and progression ; Diagnosis, Differential ; Distribution ; Drainage ; Emphysema, Pulmonary ; Emphysematous Cholecystitis - complications ; Emphysematous Cholecystitis - diagnosis ; Emphysematous Cholecystitis - surgery ; Gastroenterology ; Humans ; Male ; Mediastinal Emphysema - diagnosis ; Mediastinal Emphysema - etiology ; Mediastinal Emphysema - surgery ; Middle Aged ; Pneumomediastinum ; Tomography, X-Ray Computed</subject><ispartof>BMC gastroenterology, 2010-09, Vol.10 (1), p.99-99, Article 99</ispartof><rights>COPYRIGHT 2010 BioMed Central Ltd.</rights><rights>2010 Delgado-Plasencia et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright ©2010 Delgado-Plasencia et al; licensee BioMed Central Ltd. 2010 Delgado-Plasencia et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b611t-32f58bcfa69d114c67d53c3abc6e48842c6fdbf3baaaa9830222d830dc4014e3</citedby><cites>FETCH-LOGICAL-b611t-32f58bcfa69d114c67d53c3abc6e48842c6fdbf3baaaa9830222d830dc4014e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2936875/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/902102699?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25732,27903,27904,36991,36992,44569,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20813063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delgado-Plasencia, Luciano</creatorcontrib><creatorcontrib>González-García, Ignacio</creatorcontrib><creatorcontrib>Rodríguez-González, Diana</creatorcontrib><creatorcontrib>Torres-Monzón A, Esther</creatorcontrib><title>Pneumomediastinum as a complication of emphysematous cholecystitis: case report</title><title>BMC gastroenterology</title><addtitle>BMC Gastroenterol</addtitle><description>Emphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum.
We present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum.</description><subject>Care and treatment</subject><subject>Case Report</subject><subject>Cholecystectomy</subject><subject>Cholecystitis</subject><subject>Complications and side effects</subject><subject>Development and progression</subject><subject>Diagnosis, Differential</subject><subject>Distribution</subject><subject>Drainage</subject><subject>Emphysema, Pulmonary</subject><subject>Emphysematous Cholecystitis - complications</subject><subject>Emphysematous Cholecystitis - diagnosis</subject><subject>Emphysematous Cholecystitis - surgery</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Male</subject><subject>Mediastinal Emphysema - diagnosis</subject><subject>Mediastinal Emphysema - etiology</subject><subject>Mediastinal Emphysema - surgery</subject><subject>Middle Aged</subject><subject>Pneumomediastinum</subject><subject>Tomography, X-Ray Computed</subject><issn>1471-230X</issn><issn>1471-230X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kk1v3CAQhq2qVfPRnnurrPaQk5MBbIx7iJRG_YgUKT3k0BvCMOyyss0W7Er774vjdJWtUjiAhnceZl7IsncEzgkR_IKUNSkog58FgaJpXmTH-8jLJ_uj7CTGDQCpBWWvsyMKgjDg7Di7-zHg1PsejVNxdMPU5yrmKte-33ZOq9H5Ifc2x3673kXs1einmOu171DvUsLo4qdcq4h5wK0P45vslVVdxLeP62l2__XL_fX34vbu28311W3RckLGglFbiVZbxRtDSKl5bSqmmWo1x1KIkmpuTWtZq9JoBANKqUmL0SWQEtlpdrNgjVcbuQ2uV2EnvXLyIeDDSqowOt2hVAZLUAZq0FCiNcJysEiUSIUQztvEulxY26lNPmgcxqC6A-jhyeDWcuV_S9owLuoqAT4vgNb5_wAOT5K5cn4bOb-NJCCbJkHOHqsI_teEcZS9ixq7Tg2YLJd1VQJQqGblh3-UGz-FIbktG6AEKH_AfVxEK5U8cIP16WY9I-UVTWXThlcsqc6fUaVpsHfaD2hdih8kXCwJOvgYA9p9l6mL-Uc-09f7p-7u9X-_IPsDU3jdAw</recordid><startdate>20100902</startdate><enddate>20100902</enddate><creator>Delgado-Plasencia, Luciano</creator><creator>González-García, Ignacio</creator><creator>Rodríguez-González, Diana</creator><creator>Torres-Monzón A, Esther</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20100902</creationdate><title>Pneumomediastinum as a complication of emphysematous cholecystitis: case report</title><author>Delgado-Plasencia, Luciano ; González-García, Ignacio ; Rodríguez-González, Diana ; Torres-Monzón A, Esther</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b611t-32f58bcfa69d114c67d53c3abc6e48842c6fdbf3baaaa9830222d830dc4014e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Care and treatment</topic><topic>Case Report</topic><topic>Cholecystectomy</topic><topic>Cholecystitis</topic><topic>Complications and side effects</topic><topic>Development and progression</topic><topic>Diagnosis, Differential</topic><topic>Distribution</topic><topic>Drainage</topic><topic>Emphysema, Pulmonary</topic><topic>Emphysematous Cholecystitis - complications</topic><topic>Emphysematous Cholecystitis - diagnosis</topic><topic>Emphysematous Cholecystitis - surgery</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Male</topic><topic>Mediastinal Emphysema - diagnosis</topic><topic>Mediastinal Emphysema - etiology</topic><topic>Mediastinal Emphysema - surgery</topic><topic>Middle Aged</topic><topic>Pneumomediastinum</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delgado-Plasencia, Luciano</creatorcontrib><creatorcontrib>González-García, Ignacio</creatorcontrib><creatorcontrib>Rodríguez-González, Diana</creatorcontrib><creatorcontrib>Torres-Monzón A, Esther</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest - Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delgado-Plasencia, Luciano</au><au>González-García, Ignacio</au><au>Rodríguez-González, Diana</au><au>Torres-Monzón A, Esther</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pneumomediastinum as a complication of emphysematous cholecystitis: case report</atitle><jtitle>BMC gastroenterology</jtitle><addtitle>BMC Gastroenterol</addtitle><date>2010-09-02</date><risdate>2010</risdate><volume>10</volume><issue>1</issue><spage>99</spage><epage>99</epage><pages>99-99</pages><artnum>99</artnum><issn>1471-230X</issn><eissn>1471-230X</eissn><abstract>Emphysematous cholecystitis is a variant of acute cholecystitis which is generally caused by gas-forming organisms. Emphysematous cholecystitis may cause gas spreading within the subcutaneous tissue, peritoneal cavity and retroperitoneum.
We present a case of emphysematous cholecystitis in a middle-aged diabetic patient who, postoperatively, presented edema in both flanks and left chest crepitation on palpation, associated with hemodynamic worsening. Computed tomography scan of the chest and abdomen revealed a large pneumomediastinum, pneumoretroperitoneum, gas in subcutaneous tissue and flank abscesses. In both blood and surgical wound exudate cultures, Escherichia coli was found.
Emphysematous cholecystitis should be considered as a possible cause of pneumomediastinum.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>20813063</pmid><doi>10.1186/1471-230X-10-99</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Case Report Cholecystectomy Cholecystitis Complications and side effects Development and progression Diagnosis, Differential Distribution Drainage Emphysema, Pulmonary Emphysematous Cholecystitis - complications Emphysematous Cholecystitis - diagnosis Emphysematous Cholecystitis - surgery Gastroenterology Humans Male Mediastinal Emphysema - diagnosis Mediastinal Emphysema - etiology Mediastinal Emphysema - surgery Middle Aged Pneumomediastinum Tomography, X-Ray Computed |
title | Pneumomediastinum as a complication of emphysematous cholecystitis: case report |
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