氣腫性膽囊炎

一名62歲的男性，右上腹痛。什麼是最可能的診斷是什麼？ 正確答案是：氣腫性膽囊炎Emphysematous Cholecystitis 請查閱http://bit.ly/1hneOmU a 62 year-old male with right upper quadrant pain. What is the most likely diagnosis? The correct answer is at: http://bit.ly/1hneOmU 仰臥腹部X光片顯示膽囊壁內充滿空氣（藍色箭頭）。Supine view of the abdomen shows air in the wall (blue arrows) of the gallbladder (GB). 還有膽囊腔內透明光亮顯示腔內充滿空氣。There is also a lucency within the lumen of the gallbladder (GB) suggesting air inside the lumen. 仰臥腹部垂直X光射線束攝影顯示未見到空氣-液體層次。There is no air-fluid level visible because this radiograph is obtained supine with a vertical x-ray beam.膽囊內充滿空氣（紅色箭頭），表示膽囊周圍膿腫。黃色箭頭顯示有PEG(經皮內視鏡胃造口術)管末端留在胃內。Just superior to the gallbladder is another collection of air (red arrow) that represents a pericholecystic abscess. The yellow arrow points to the end of a PEG tube in the stomach.