Acute complicated calculous cholecystitis

Discussion:

This is an uncommon case of acute calcular cholecystitis getting complicated by segmental portal venous thrombosis. Cholecystitis being a hypercoagulable state, disseminated intravascular coagulation may occur and should be looked out for. 

The differential segmental hepatic attenuation is due to the post thrombotic increased hepatic arterial flow to segments V and VIII. 

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