A case of emphysematous cholecystitis related to rhabdomyolysis

• Published in: Tando Vol. 21; no. 2; pp. 184 - 188
• Main Authors: Yamazaki, Kazumaro, Arai, Hideki, Kawaguchi, Makoto, Tukada, Kazuhiro
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 2007
• Subjects: emphysematous cholecystitis; heat illness; rhabdomyolysis
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando1987.21.2_184

We report a case of emphysematous cholecystitis related to rhabdomyolysis. In summer,2005, a 76-year old man was transferred to our hospital by an ambulance because of the appearance of lassitude of extremities and dysbasia after farm labor under severe hot weather. He was diagnosed as acute renal failure associated with rhabdomyolysis and received intensive medical treatment including dialysis On the fith hospital day, he was referred to our department because of right upper quadrant pain. Abdominal CT scan, MRI examination showed gas and fluid in the ruptured enlarged gallbladder and abscess formation at the right paracolic gutter. The patient was diagnosed as emphysematous cholecystitis with perforation and underwent cholecystectomy and abdominal drainage. There have been no case reports on emphysematous cholecystitis that followed rhabdomyolysis in the Japanese literature and we reported the case with a review of the literature.