Perforated gallbladder with bile peritonitis

Case contributed by Dr Nasir Siddiqui

Presentation

Severe upper abdominal pain

Patient Data

Age: 65 years

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.

Case Discussion

Perforation of the gallbladder with an associated biloma and findings suggestive of bile peritonitis.

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Case information

rID: 12265
Published: 4th Nov 2010
Last edited: 2nd Mar 2020
Inclusion in quiz mode: Included

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