Presentation
Continuous upper abdominal pain since the last 2 weeks. History of hypertension and DM.
Patient Data
Markedly distended gallbladder with associated stranding in the fat surrounding the fundus. cholelithiasis and intraluminal septations can be observed, findings related to intraluminal membranes. The caudal aspect of the gallbladder does not exhibit enhancement, being compatible with necrosis.
Additionally an infrarenal aortic aneurysm was detected.
The findings and patients clinical presentation were suggestive of gangrenous cholecystitis.
Case Discussion
The patient underwent surgical intervention, confirming the presence of gangrenous cholecystitis.