Perforated gallbladder with subcapsular biloma

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Severe right upper quadrant pain for 6 days.

Patient Data

Age: 75 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Distended inflamed gall bladder with a central gas-filled calculus impacted in the neck. Surrounding inflammation in the adjacent fat. Defect in the gall bladder fundus with large fluid collection around the liver indicates perforation. Note that the fluid collection conforms to the liver contour indenting the parenchyma with a scalloped appearance. This indicates a subcapsular collection of bile.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.