Complicated cholecystitis with gallbladder perforation and diffuse acute abdomen
Presentation
Right upper abdominal pain.
Patient Data
Emergency Department CT
CT scans shows a distended gallbladder with thick walls and around fat densification. There are also: tortuous and atheromatous aorta; left common iliac artery fusiform aneurism; degenerative spine with scoliosis.
Patient was hospitalized for supportive care, no immediate indication for surgery. Two days after he developed with abdominal distention and worsening of pain with signs of generalized peritonitis.
New CT - two days after
This CT shows a gallbladder perforation associated with an abdominal collection in right iliac fossa (thick walls with enhancement).
Gallbladder perforation associated with an abdominal collection in right iliac fossa (thick walls with enhancement).
Case Discussion
The patient presented at emergency department with an acute cholecystitis, getting worse during hospitalization due a gallbladder perforation with peritonitis.