Presentation
Pain in the right upper quadrant for five days. Fever and malaise for 3 days.
Patient Data
Low-attenuation lesion in the liver adjacent to the gallbladder with subtle peripheral enhancement.
Arrows showing: Low-attenuation lesion in the liver adjacent to the gallbladder with subtle peripheral enhancement; Biliary tract dilatation; Discontinuity of the gallbladder wall in continuity with the area of liver abscess.
Case Discussion
Acute cholecystitis refers to the acute inflammation of the gallbladder. It is the primary complication of cholelithiasis and the most common cause of acute pain in the right upper quadrant .
The main complications of acute cholecystitis include the following1:
pericholecystic abscess (this case) : as a result of a perforation of the gallbladder wall; hepatic abscesses can also occur
At surgery the diagnosis of cholecystitis with perforation and an intrahepatic abscess was confirmed.
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