Gallbladder empyema

Case contributed by Dr Chris O'Donnell

Presentation

Abdominal pain and distension. Sepsis.

Patient Data

Age: 65 years
Gender: Male
CT

Distended gall bladder containing gas bubbles indicative of gas forming organisms not in the vessel wall but in the lumen.  Inflammatory change in surrounding fat.  Distended small and large bowel loops indicative of an ileus.

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