This case report reveals complications of emphysematous cholecystitis with pneumoperitoneum, highlighting diagnostic difficulties and management strategies.
Key Points
The patient presented with emphysematous cholecystitis complicated by pneumoperitoneum without free bile.
Initial tests revealed leukocytosis and elevated C-reactive protein, indicating severe infection risk.
Emergency laparoscopic cholecystectomy identified an inflamed gallbladder with gas; cultures grew Clostridium perfringens.
Early surgical intervention and tailored antibiotic therapy were critical for the patient's recovery after 13 days in the hospital.