Presentation
Severe abdominal pain with generalized tenderness and chills.
Patient Data
The gallbladder shows a thick enhancing wall with multiple defects of its wall mainly at the body and fundus, communicating with a subhepatic fluid collection. Intraperitoneal fluid is also noted in the right paracolic gutter and pelvic region. Extensive mesenteric fat stranding with thickening and enhancement of the peritoneal reflections. Reactive thickening with enhancement of the adjacent duodenal wall.
Other findings:
cardiomegaly with dilated left atrium
coronary arteries calcification
minimal pleural effusion with lung base consolidation
sliding hiatal hernia
tortuous descending and abdominal aorta with arteriosclerosis extending to the iliac arteries
Prostatic hypertrophy (48 g in this case)
severe osteoporosis with compression fractures
Case Discussion
CT features of perforated acute cholecystitis with biliary peritonitis that was confirmed at surgery.
Gallbladder perforation represents a serious complication of acute cholecystitis and tends to occur in elderly patients and carries higher rates of morbidity and mortality.
Unable to process the form. Check for errors and try again.