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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 1971457, 4 pages
Case Report

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

1Department of Gastroenterology, Tallaght Hospital and Trinity College, Dublin, Ireland
2Department of Surgery, Tallaght Hospital and Trinity College, Dublin, Ireland

Correspondence should be addressed to Roisin Stack; moc.liamg@nisior.kcats

Received 22 October 2016; Accepted 12 March 2017; Published 21 March 2017

Academic Editor: Hirotada Akiho

Copyright © 2017 Roisin Stack et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.