Acute calculous cholecystitis in patient with osteopetrosis
Presented to ER with acute right hypochondrial pain and vomiting.
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The gallbladder is distended showing a large radiodense stone within its neck, associated with diffuse mural thickening and enhancement. Mild pericholecystic fluid and fat plane smudging is also noted. This is impressive of "acute calculous cholecystitis"
Widespread bone thickening and dense osteosclerosis showing the classical bone within a bone. Bilateral pathological fractures of the ribs, both femoral necks, right femoral shaft, L4, and L5 pars interarticularis.
Erlenmeyer flask type deformity of both femora.
The patient was known as "autosomal dominant osteopetrosis" which explains the patient's survival to adulthood. Autosomal dominant osteopetrosis is the less severe type of osteopetrosis.
Here, in this case, there are typical features of osteopetrosis, such as: