Presentation
Diabetic patient presented with vomiting , abdominal pain and fever.
Patient Data
Distended gallbladder with an indistinct wall, full of turbid viscous contents with no internal vascularity.
No evidence of internal solid component.
Distended gallbladder with irregularly thickened enhanced wall and surrounding fat stranding,
No calculi. No internal air foci.
Spondylo-degenerative changes of the spine.
Mildly thickened trabeculated urinary bladder wall.
Case Discussion
Empyema of gallbladder is an uncommon complication of acute cholecystitis in which the lumen is filled with purulent material.
It is more common in old age group with co-morbidity like diabetic patients.
Imaging appearances can be suggestive, but rarely if ever definitive. The primary treatment of choice is a percutaneous cholecystostomy.
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