Presentation
Severe right upper quadrant pain and fever.
Patient Data
Age: 65 years
Gender: Male
From the case:
Gallbladder perforation secondary to acute cholecystitis
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Distended, thick-walled and inflamed gallbladder containing calculi with an interrupted wall at the fundus producing a localized irregular collection of infected bile in the liver parenchyma (arrow).
Case Discussion
Gallbladder perforation is a rare complication of acute cholecystitis with a higher morbidity and mortality than conventional gallbladder infection. Diagnosis is often delayed and surgery more complicated as the liver parenchyma is involved.
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