Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication

A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the c...

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Main Authors: Roisin Stack, Joseph McLoughlin, Amy Gillis, Barbara M. Ryan
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2017/1971457
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author Roisin Stack
Joseph McLoughlin
Amy Gillis
Barbara M. Ryan
author_facet Roisin Stack
Joseph McLoughlin
Amy Gillis
Barbara M. Ryan
author_sort Roisin Stack
collection DOAJ
description A 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder perforation. ERCP is associated with significant risks, particularly in patients with FBSD, where diagnostic uncertainty renders the balance of risk versus benefit even more critical. Post-ERCP emphysematous cholecystitis secondary to Clostridium perfringens is a rare but potentially fatal complication.
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-0075c878a50a41d3986648a88cb9d9df2025-02-03T01:21:46ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/19714571971457Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal ComplicationRoisin Stack0Joseph McLoughlin1Amy Gillis2Barbara M. Ryan3Department of Gastroenterology, Tallaght Hospital and Trinity College, Dublin, IrelandDepartment of Gastroenterology, Tallaght Hospital and Trinity College, Dublin, IrelandDepartment of Surgery, Tallaght Hospital and Trinity College, Dublin, IrelandDepartment of Gastroenterology, Tallaght Hospital and Trinity College, Dublin, IrelandA 45-year-old woman with suspected Functional Biliary Sphincter Disorder (FBSD) developed Clostridium perfringens related emphysematous cholecystitis after ERCP. A low index of suspicion for emphysematous cholecystitis in this young, otherwise healthy woman led to a significant delay in making the correct diagnosis, and air in the gallbladder was wrongly attributed to a possible gallbladder perforation. ERCP is associated with significant risks, particularly in patients with FBSD, where diagnostic uncertainty renders the balance of risk versus benefit even more critical. Post-ERCP emphysematous cholecystitis secondary to Clostridium perfringens is a rare but potentially fatal complication.http://dx.doi.org/10.1155/2017/1971457
spellingShingle Roisin Stack
Joseph McLoughlin
Amy Gillis
Barbara M. Ryan
Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
Case Reports in Gastrointestinal Medicine
title Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
title_full Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
title_fullStr Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
title_full_unstemmed Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
title_short Post-ERCP Emphysematous Cholecystitis in a Young Woman: A Rare and Potentially Fatal Complication
title_sort post ercp emphysematous cholecystitis in a young woman a rare and potentially fatal complication
url http://dx.doi.org/10.1155/2017/1971457
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