Gangrenous cholecystitis

Case contributed by Dr Henry Knipe


Right upper quadrant pain.

Patient Data

Age: 35 years
Gender: Female

Multiple gallstones including one impacted at the gallbladder neck. The gallbladder wall is very thickened measuring up to 19 mm with a "laminated" appearance of the wall. The gallbladder wall is hyperaemic in regions although there are areas of absent Doppler signal. Small volume of pelvic free fluid.

Mild fatty liver. No focal hepatic lesion. Mild extrahepatic duct dilatation with the common bile duct measuring 0.6 cm. No choledocholithiasis identified. No intrahepatic duct dilatation. The kidneys, spleen and aorta are within normal limits.

Case Discussion

The patient proceeded to laparoscopic cholecystectomy, which confirmed acute gangrenous cholecysitis. Both the operation and post-operative recovery were uneventful.
PlayAdd to Share

Case information

rID: 56787
Published: 22nd Nov 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.