Emphysematous cholecystitis - champagne sign

Case contributed by Dr Aneta Kecler-Pietrzyk

Presentation

Severe right upper quadrant pain

Patient Data

Age: 60 years
Gender: Male

Targeted ultrasound of the gallbladder demonstrates multiple tiny echogenic foci in the gallbladder lumen resembling effervescing bubbles in the glass of champagne (see annotated image).

Wall thickness was within normal limits.

No pericholecystic fluid was observed. 

Emphysematous cholecystitis was confirmed on subsequent CT scan. 

Annotated image

Champagne sign in case of emphysematous cholecystitis

Photograph:  Own (by contributor).

Contrast-enhanced CT demonstrates multiple air locules in the gallbladder with the largest in the region of the fundus in keeping with emphysematous cholecystitis. 

Marked associated surrounding fat stranding. 

No evidence of perforation.

Case Discussion

Champagne sign in case of emphysematous cholecystitis

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Case information

rID: 73180
Published: 29th Dec 2019
Last edited: 30th Dec 2019
Inclusion in quiz mode: Included