Emphysematous cholecystitis is a rare condition in which bubbles of gas from anaerobic infection appear in the lumen of the gallbladder, its wall, the pericholecystic space, and sometimes the bile ducts.
The patient presents with sudden and rapidly progressive right upper quadrant pain, fever and leucocytosis.
Plain abdominal films reveal gas in the gallbladder lumen and wall and are highly characteristic.
The patient should immediately be given appropriate antibiotics followed by emergency surgery:
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