Presentation
Abdominal pain.
Patient Data
Age: 80 years
Gender: Male
From the case:
Perforated gangrenous cholecystitis
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Thick-walled gallbladder with irregular discontinuous mucosal enhancement with medial perforation resulting in large, complex midline abscess formation.
Case Discussion
Very large perforation and abscess formation complicating gangrenous cholecystitis. This was managed with percutaneous drainage (growing E. coli) and eventually subtotal reconstituting cholecystectomy.