Differential Diagnosis for Distended Gallbladder and Sepsis
- Single most likely diagnosis
- Emphysematous cholecystitis: This condition is characterized by a distended gallbladder and is often associated with sepsis. It typically occurs in diabetic patients and is caused by a gas-producing bacterial infection.
- Other Likely diagnoses
- Acute cholecystitis: Inflammation of the gallbladder can cause distension and may lead to sepsis if left untreated or if there is a perforation.
- Ascending cholangitis: An infection of the bile duct can cause sepsis and may be associated with a distended gallbladder, especially if there is an obstruction.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Gallbladder perforation: A perforated gallbladder can lead to peritonitis and sepsis, making prompt diagnosis and treatment crucial.
- Sepsis due to other causes (e.g., pneumonia, urinary tract infection): While a distended gallbladder may be present, sepsis can have many causes, and it's essential to consider other potential sources of infection.
- Rare diagnoses
- Mirizzi syndrome: A rare condition where a gallstone becomes impacted in the cystic duct, causing obstruction and potentially leading to a distended gallbladder and sepsis.
- Gallbladder cancer: Although rare, gallbladder cancer can cause a distended gallbladder and may be associated with sepsis, especially if there is tumor necrosis or perforation.