Gallbladder perforation

Case contributed by Dr Bruno Di Muzio

Presentation

Right upper quadrant pain and elevated bilirubin.

Patient Data

Age: 20-25 years old
Gender: Female
Ultrasound

US Abdomen (selected images)

Gallbladder is distended and has thickened wall, measuring up to 6 mm. A focus of wall discontinuity is noted near the gallbladder fundus (IM: 54) and pericholecystic fluid is noted. Multiple gallstones identified and a stone is within the dilated cystic duct. No intrahepatic biliary dilatation. Common biliary duct is not abnormally distended. Liver has diffuse increased echogenicity in keeping with fatty infiltration. No hepatic focal lesions. Imaged pancreas has normal sonographic appearances.

Case Discussion

Gallbladder perforation is an uncommon complication related with cholecystitis. This diagnosis was achieved based on the clinically and sonographic features of acute cholecystitis, with the presence of pericholecystic fluid and subtle layering of the gallbladder wall with a well-defined focus of wall discontinuity. 

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Case information

rID: 49522
Case created: 25th Nov 2016
Last edited: 9th Dec 2016
Inclusion in quiz mode: Included

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