Complicated cholecystitis with gallbladder perforation and diffuse acute abdomen

Case contributed by Dr Bruno Di Muzio

Presentation

Right upper abdominal pain.

Patient Data

Age: 90
Gender: Male

Emergency Department CT

Modality: CT

CT scans shows a distended gallbladder with thick walls and around fat densification. There are also: tortuous and atheromatous aorta; left common iliac artery fusiform aneurism; degenerative spine with scoliosis. 

Patient was hospitalised for supportive care, no immediate indication for surgery. Two days after he developed with abdominal distention and worsening of pain with signs of generalised peritonitis. 

New CT - two days after

Modality: CT

This CT shows a gallbladder perforation associated with an abdominal collection in right iliac fossa (thick walls with enhancement). 

Gallbladder perforation associated with an abdominal collection in right iliac fossa (thick walls with enhancement). 

Case Discussion

The patient presented at emergency department with an acute cholecystitis, getting worse during hospitalization due a gallbladder perforation with peritonitis. 

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Case Information

rID: 30056
Case created: 15th Jul 2014
Last edited: 3rd Nov 2016
Inclusion in quiz mode: Included

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