Gangrenous cholecystitis

Case contributed by Dr Nerses Nersesyan

Presentation

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.

Patient Data

Age: 80
Gender: Male
CT

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.

Case Discussion

The patient underwent surgical intervention, confirming the presence of gangrenous cholecystitis.

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Case information

rID: 54577
Published: 16th Jul 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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