Acute gangrenous cholecystitis

Case contributed by Dr Jeremy Jones

Presentation

Right upper quadrant pain and peritonism

CT

The gallbladder is distended and contains some high-density material. The wall is of variable intensity with patchy enhancement. There is pericholecystic fluid and inflammatory change with peritoneal and retroperitoneal fluid, and a right-sided pleural effusion. There are a couple of gallstones, but nothing obstructive in the CBD or head of the pancreas.

The concern here is for gangrenous cholecystitis because of the patchy enhancement of the gallbladder wall. 

Case Discussion

Gangrenous cholecystitis was confirmed operatively. 

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Case information

rID: 10123
Published: 1st Jul 2010
Last edited: 24th Sep 2018
Inclusion in quiz mode: Included
Institution: Leeds Teaching Hospitals NHS Trust

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