Post ERCP perforation with pneumoretroperitoneum
This patient was known case of cholelithiasis and choledocholithiasis. She underwent ERCP and then presented with severe abdominal pain and vomiting.
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The gallbladder shows a thick enhancing wall with calculi within it. The CBD is dilated with subtle hyperdensity in its distal part representing calculus. Mottled air specks and mild fluid is seen in retroperitoneum.
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