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Journal of Diagnostic Medical Sonography
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The Sonographic Appearance of Emphysena tous Cholecys titis

Carolyn T. Coffin, BS, RDMS, RVT

Division of Diagnostic Ultrasound, C-277, University of Colorado Health Sciences Center, 4200 E. Ninth Avenue, Denver, CO 80262.

Jeffry P. Weingardt, MD

Julia A. Drose, BA, RDMS, RDCS

Division of Diagnostic Ultrasound, University of Colorado Health Sciences Center, Denver, Colorado.

Emphysematous cholecystitis is an uncommon form of acute gangrenous cholecystitis. It is characterized by as within the gallbladder wall, lumen, or bliliary ducts. The morbidity associated with emphysematous cholecystitis is five times that of nonemphysematous cholecystitis'. The timely diagnosis ant management of this entity may substantialty reduce the associated morbaidty anc mortality. The sonographic findings ot emphysematous ch oecystitis, including ecnogenic material with shadowing within the gallblader and reverberation echoes emanating from the gallbladder wall or lumen, have been well documented.2-7 We report a case that illustrates an additional rare sonograpnic finding of gas bubbles arising from the gallbladder wall.

Key Words: cholecystitis • emphysematous • gallbladder • gangrenous ultrasound

Journal of Diagnostic Medical Sonography, Vol. 11, No. 4, 204-206 (1995)
DOI: 10.1177/875647939501100408
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