{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:02:05Z","timestamp":1780603325324,"version":"3.54.1"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe a rare case of concurrent emphysematous cholecystitis, emphysematous cholangitis, and ischemic bowel in an older patient.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Case Presentation:<\/jats:bold>\n                      An 88-year-old man with end-stage renal disease on hemodialysis presented with abdominal pain and altered mental status. Computed tomography revealed intramural gas in the gallbladder and distal common bile duct. Emergency laparotomy confirmed a gangrenous gallbladder and ischemic bowel. Bile cultures grew\n                      <jats:italic toggle=\"yes\">Clostridium perfringens<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">Streptococcus anginosus<\/jats:italic>\n                      . Postoperative bile leakage was successfully managed using endoscopic retrograde cholangiopancreatography and biliary stenting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Emphysematous cholangitis is a life-threatening condition requiring prompt computed tomography\u2013based diagnosis and urgent multidisciplinary management with antibiotics, surgery, and endoscopic intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261452442","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:47:42Z","timestamp":1780274862000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Computed tomography\u2013detected concurrent emphysematous cholecystitis and cholangitis with surgically proven ischemic bowel: A case report"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3250-6914","authenticated-orcid":false,"given":"Cheng-Hsien","family":"Wu","sequence":"first","affiliation":[{"name":"Chang Gung Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yon-Cheong","family":"Wong","sequence":"additional","affiliation":[{"name":"Chang Gung Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Being-Chuan","family":"Lin","sequence":"additional","affiliation":[{"name":"Trauma and Critical Care Center, Department of Surgery, Chang Gung Memorial Hospital, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Ching","family":"Kang","sequence":"additional","affiliation":[{"name":"Trauma and Critical Care Center, Department of Surgery, Chang Gung Memorial Hospital, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,31]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.4219-24"},{"key":"e_1_3_9_3_2","volume-title":"StatPearls","author":"Kowalski A","year":"2025","unstructured":"Kowalski A, Kashyap S, Pfeifer C. Emphysematous cholecystitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2025."},{"key":"e_1_3_9_4_2","first-page":"e70955","article-title":"Radiology and non-operative management of emphysematous infections of the pancreas, gallbladder, and urinary system","volume":"16","author":"Persaud S","year":"2024","unstructured":"Persaud S, Deyalsingh ST, Ramsingh K, et\u00a0al. Radiology and non-operative management of emphysematous infections of the pancreas, gallbladder, and urinary system. Cureus 2024; 16: e70955.","journal-title":"Cureus"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2007.12.009"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1994.tb00445.x"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2024.e02073"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"e_1_3_9_9_2","first-page":"e93936","article-title":"Gallbladder pneumatosis with pneumoperitoneum caused by Clostridium perfringens: a case report","volume":"17","author":"Ashton BJ","year":"2025","unstructured":"Ashton BJ, Subramonian S, Nair M. Gallbladder pneumatosis with pneumoperitoneum caused by Clostridium perfringens: a case report. Cureus 2025; 17: e93936.","journal-title":"Cureus"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.936329"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.23937\/2469-584X\/1510079"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.512"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261452442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261452442","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261452442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:46:58Z","timestamp":1780602418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261452442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/03000605261452442"],"URL":"https:\/\/doi.org\/10.1177\/03000605261452442","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"03000605261452442"}}