Presentation
Right upper quadrant pain in a patient with a biliary stent placed for bile duct cancer.
Patient Data
Age: 60 years
Gender: Male
From the case:
Emphysematous cholecystitis
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Biliary stent. Air outlines the gall bladder.
From the case:
Emphysematous cholecystitis
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Biliary stent appropriately positioned with pneumobilia and dilated bile ducts. Extensive gas within the gall bladder wall.
Case Discussion
The mural gas in emphysematous cholecystitis results from necrosis of the gallbladder wall. The high mortality of emphysematous cholecystitis is due to gallbladder gangrene and associated gallbladder perforation. In this case, the pneumobilia was due to the biliary stent.