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CRCM> Vol.2 No.1, March 2013
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Emphysematous cholecystitis associated with constipation: A case report

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DOI: 10.4236/crcm.2013.21003    4,047 Downloads   6,766 Views  
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Kenji Okumura, Alan T. Lefor, Takafumi Maeda, Yoshiharu Takenaka, Toshiyuki Suganuma

Affiliation(s)

Department of Surgery, Tokyo-Bay Urayasu Ichikawa Medical Center, Chiba, Japan.
Department of Surgery, Uwamachi General Hospital, Yokosuka, Japan.

ABSTRACT

Constipation is one of the most common complaints in the general population, with a wide variety of causes. We present the case of a man with a four-week history of constipation who developed signs and symptoms of acute cholecystitis. Computed tomography scan of the abdomen revealed emphysematous cholecystitis and pericholecystic inflammatory changes extending to the adjacent colon. Emergent cholecystectomy was performed, and bowel function improved after surgery. Chronic inflammation of the gallbladder might be associated with constipation in this patient.

KEYWORDS

Constipation; Emphysematous Cholecystitis

Cite this paper

Okumura, K. , Lefor, A. , Maeda, T. , Takenaka, Y. and Suganuma, T. (2013) Emphysematous cholecystitis associated with constipation: A case report. Case Reports in Clinical Medicine, 2, 9-10. doi: 10.4236/crcm.2013.21003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Saures, N.C. and Ford, A.C. (2011) Prevalence of, and risk factors for, chronic idiopathic constipation in the community: Systematic review and meta-analysis. American Journal of Gastroenterology, 106, 1582-1591. doi:10.1038/ajg.2011.164
[2] Rao, S.S., Ozturk, R. and Laine, L. (2005) Clinical utility of diagnostic tests for constipation in adults: A systematic review. American Journal of Gastroenterology, 100, 1605-1615. doi:10.1111/j.1572-0241.2005.41845.x
[3] Moanna, A., Bajaja, R. and del Rio, C. (2006) Emphysematous cholecystitis due to Salmonella derby. The Lancet Infectious Diseases, 6, 118-120. doi:10.1016/S1473-3099(06)70385-1
[4] Garcia-Sancho Tellez, L., Rodriguez-Montes, J.A., Fernandez de Lis, S. and Garcia-Sancho Martin, L. (1999) Acute emphysematous cholecystitis. Report of twenty cases. Hepatogastroenterology, 46, 2144-2148.
[5] Hazey, J.W., Brody, F.J., Rosenblatt, S.M., Brodsky, J., Malm, J. and Pronsky, J.L. (2001) Laparoscopic management and clinical outcome of emphysematous cholecystitis. Surgical Endoscopy, 15, 1217-1220. doi:10.1007/s004640080018

  
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