Presentation
Pain in the right upper quadrant for nine days. Fever and malaise for 5 days.
Patient Data
Age: 75 years
Gender: Male
From the case:
Gallbladder perforation with liver abscess formation
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distended gallbladder, 45 mm in maximal diameter, with thick-walled and hyperattenuating gallstones
suspected gallbladder wall defects with communication tracts due to intrahepatic gallbladder perforation associated with a 30 x 40 mm abscess formation at segments V and VI of the liver abutting the gallbladder
7 mm stone along with the left kidney lower calyx
bilateral renal hypodense cortical cysts
Case Discussion
CT imaging features are consistent with acute cholecystitis and highly concerning for perforation and hepatic abscess formation.
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