Presentation
Right upper quadrant pain with tenderness and fever.
Patient Data
Age: 60 years
Gender: Male
From the case:
Perforated gallbladder empyema with abscesses formation
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/92605/annotated_viewer_json?lang=us"}
The CT images demonstrate:
- distended gallbladder with thick enhancing wall and high-attenuating content
- small stone (9 mm) obstructing the gallbladder-neck well-visualized on non-contrast images
- multiple defects of the gallbladder wall with fluid collections in subhepatic space, adjacent and within the duodenal wall/hepatic flexure with surrounding fat stranding.
- dilated common bile duct (10 mm) with stone (8 mm) in its distal portion
- simple renal cysts
From the case:
Perforated gallbladder empyema with abscesses formation
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/92606/annotated_viewer_json?lang=us"}
Annotated images:
- yellow arrow (image A): stone in gallbladder-neck
- yellow arrow (image B): stone in distal CBD
- green arrow (image C): abscess of duodenal wall
- red arrow (image D): subhepatic abscess adjacent to the colonic wall
- blue arrow (image E): abscess of colonic wall (hepatic flexure)
Case Discussion
CT features of a perforated gallbladder empyema with formation of adjacent abscesses, extending to the duodenal wall and hepatic flexure
Additional contributor: Z.E Boudiaf, CHU, Constantine Algeria
Unable to process the form. Check for errors and try again.