Perforated gallbladder with bile peritonitis
Severe upper abdominal pain
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The gallbladder wall is disrupted anteromedially and is in direct communication with a low-attenuation fluid collection tracking superiorly in a perihepatic distribution (scalloping of the underlying liver) and inferiorly along the right paracolic gutter.
The adjacent peritoneum demonstrates abnormal enhancement.
Perforation of the gallbladder with an associated biloma and findings suggestive of bile peritonitis.