Here is a collection of cases where air in the wall of an organ is evident on imaging.
Emphysematous CholecystitisThis 52yo diabetic woman presented with non-specific abdominal pain. No previous relevant surgical history or old imaging was available. Following cholecystectomy she had multiple episodes of cholangitis following this acute presentation.
|There is a rim of gas outlining the gallbladder in the right upper quadrant; this was effectively an abscess completely filling the gallbladder, with gas penetrating into the necrotic gallbladder wall|
Emphysematous CystitisThis 39yo female patient presented with right-sided abdominal pain, guarding and generalised sepsis. She subsequently went into renal failure and required cystectomy and ileal conduit formation.
|The structure in the anterior pelvis containing gas in the wall and a large gas-fluid level is the bladder|
Emphysematous GastritisThis 91yo male patient presented with AF, melaena and haemodynamic instability. Things went downhill quite quickly from here.
|3 arrows on this coronal CT highlight gas within the wall of the stomach, small veins leading away from the stomach, and intrahepatic portal veins|
Emphysematous PyelonephritisThis 48yo diabetic patient presented with hyperglycaemia and abdominal pain. She eventually recovered without surgery but with significant scarring to the left kidney.
|2 arrows on this coronal CT demonstrate the location of gas within the renal capsule superiorly and in the proximal ureter|