A patient was admitted to the emergency department with continuous upper abdominal pain since the last 2 weeks. Otherwise the patient was diagnosed with hypertension and DM.
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Markedly distended gallbladder with associated stranding in the fat surrounding the fundus. Cholelithiasis and intraluminal septations can be observed, findings related to intraluminal membranes. The caudal aspect of the gallbladder does not exhibit enhancement, being compatible with necrosis.
Additionally infrarenal aortic aneurysm was detected.
The findings and patients clinical presentation were suggestive of Gangrenous Cholecystitis.
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The patient underwent surgical intervention, confirming the presence of gangrenous cholecystitis.
- Bennett GL, Rusinek H, Lisi V et-al. CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol. 2002;178 (2): 275-81.
- Patel NB, Oto A, Thomas S. Multidetector CT of emergent biliary pathologic conditions. Radiographics. 2013 Nov-Dec;33(7):1867-88. doi: 10.1148/rg.337125038.
- Akın Önder, Murat Kapan et al. Gangrenous Cholecystitis: Mortality and Risk Factors. Int Surg. 2015 Feb; 100(2): 254–260. doi: 10.9738/INTSURG-D-13-00222.1