A Gassy Problem in the Gallbladder

An 80-year-old man presents with RUQ Abdominal pain and a positive Murphy’s sign. Labs are normal, but imaging reveals a severe gallbladder infection.

Emphysematous cholecystitis


An 80-year-old man presented to the emergency department with a 2-day history of abdominal pain in the right upper quadrant. On physical examination, he had abdominal tenderness in the right upper quadrant, and Murphy’s sign was positive. The alanine aminotransferase, aspartate aminotransferase, bilirubin, and lipase levels were normal. Computed tomography of the abdomen is shown. What is the diagnosis?

What is the most likely diagnosis?

Ascending cholangitis
Duodenal diverticulitis
Subhepatic appendicitis
Emphysematous cholecystitis
Hepatic cyst rupture

Cholecystectomy, Cholecystitis, Emphysematous cholecystitis, RUQ Pain, Surgical Emergency

Leave a Comment