Subacute gallbladder perforation - type II

Case contributed by Luu Hanh
Diagnosis certain

Presentation

Right upper quadrant pain, fever

Patient Data

Age: 90 years
Gender: Male

CT shows thickening and a focal defect in the wall of the gallbladder. 

Two abscesses and stranding are adjacent to the gallbladder. Stone is seen in the gallbladder. 

Case Discussion

CT findings are in keeping with the subacute perforation with pericholecystic abscess, classified as type 2 according to the Anderson classification 1.

Cholecystectomy was performed and confirmed gallbladder perforation.

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