Diabetic female presented with right upper abdominal pain for last 2 days. There was a similar episode about 1 month back.
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Gallbladder shows diffuse wall edema. There is a breach in its wall with a tiny collection ( 2 - 3 cc ) in gallbladder fossa. There are multiple calculi in gallbladder lumen; largest measuring up to 11 mm. Gallbladder lumen is filled with echoes. The common bile duct is normal in caliber without any calculus. Intra-hepatic biliary radicles are not dilated. Pancreas and main pancreatic ducts are normal.
Elderly diabetic female presented with the 2nd episode of right upper quadrant abdominal pain in last 4 wks. Ultrasound shows gallbladder calculi, cholecystitis, and gallbladder perforation. Surgery revealed calculi and pus in gallbladder lumen, sloughed wall, gallbladder wall perforation with a small peri-cholecystic collection.