Whats is the treatment of choice for emphysematous cholecystitis?
Because of its high mortality and morbidity, emphysematous cholecystitis is treated with urgent cholecystectomy. Temporizing measures may be used in unsuitable patients, such as percutaneous cholecystostomy and antibiotic therapy.
Unenhanced CT demonstrates intramural and intraluminal gas collections in gallbladder. Focis of air near the medial gallbladder wall and scattered through peritoneum. Patient was too sick for oral or intravenous contrast administration.
CT findings are compatible with emphysematous cholecystitis with gallbladder perforation and pneumoperitoneum.