ArticleCureus2025
Gallbladder Pneumatosis With Pneumoperitoneum Caused by Clostridium perfringens: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Computed tomography-detected concurrent emphysematous cholecystitis and cholangitis with surgically proven ischemic bowel: A case report.The Journal of international medical research · 2026Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Emphysematous cholecystitis (EC) is a rare, life-threatening variant of acute cholecystitis characterised by gas formation within the lumen and walls of the gallbladder. This reflective case report describes a rare presentation of EC complicated by pneumoperitoneum, without free bile or identifiable perforation. It highlights the diagnostic challenges and the management considerations associated with this severe condition. A 64-year-old male with type 2 diabetes mellitus, hypertension, obesity and other comorbidities presented with a six-day history of abdominal pain and bloating. Blood tests revealed marked leukocytosis with neutrophilia and an elevated C-reactive protein. Despite an unremarkable abdominal exam, CT imaging revealed gas within the gallbladder lumen, walls and free intraperitoneal air, without associated free fluid or bile. Emergency laparoscopic cholecystectomy revealed a necrotic, gas-containing gallbladder and localised pus, but no perforation. The patient recovered well with targeted antibiotic therapy. This case highlights that pneumoperitoneum in the absence of free bile or visible perforation can occur in EC. Awareness of this atypical presentation is critical to avoid diagnostic delay and ensure timely surgical management.
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