Presentation
Mild right upper abdominal pain with fever in a diabetic patient.
Patient Data
Age: 65 years
Gender: Female
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The gallbladder is relatively distended with thick enhanced wall and intramural and intraluminal gas. Two gallbladder wall defects are noted, towards segment 4 with extraluminal gas and segment 6 with abscess formation. Fat stranding around the gallbladder.
Other findings:
small hiatal hernia
left renal stones
Case Discussion
CT features of perforated emphysematous cholecystitis with hepatic abscess formation.