Acute Gaseous Cholecystitis

Abstract
THE preoperative diagnosis of gaseous cholecystitis has been comparatively rare, and in the absence of surgical or post-mortem examination, its detection is only possible by roentgenographic examination of the gall-bladder region. There is no way to distinguish gaseous or emphysematous cholecystitis from other cases of cholecystitis without such a procedure.Kirchmayr1 first drew attention to this interesting entity in 1925, describing the operative finding of a gangrenous gall bladder, distended with gas and pus, the walls of which showed emphysematous blebs. Hegner,2 in 1931, reported a case of gaseous pericholecystitis with cholecystitis and cholelithiasis, diagnosed radiographically, evidently the first preoperatively . . .
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