A Case of Emphysematous Colonoscopy Cholecystitis

Yoshiyuki Inoue, Masaru Koizumi, Yasunaru Sakuma, Naohiro Sata and Yoshikazu Yasuda

Department of Surgery, Jichi Medical University

A 67-year-old man with abdominal distension and pain after routine colonoscopy and suspected of pyothorax due to right pleural effusion. The findings was found in abdominal computed tomography to have abnormal air density and massive ascites indicating emphysematous cholecystitis. Emergency surgery showed no colonic perforation but the gallbladder wall evidenced necrotic change. We confirmed the existence of emphysematous "colonoscopy cholecystitis", one of the differential diagnoses for patients with abdominal pain after colonoscopy.

Key words
acute cholecystitis, emphysematous cholecystitis, colonoscopy

Reprint requests
Yoshiyuki Inoue Department of Surgery, Jichi Medical University
3311-1 Yakushiji, Shimotsuke, 329-0498 JAPAN

Accepted
January 28, 2009

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