What are the risk factors for acute gangrenous cholecystitis?
Male patient, increasing age, delayed surgery, cardiovascular disease, diabetes mellitus.
What is the definitive treatment for acute gangrenous cholecystitis?
Both laparoscopic and open cholecystectomy are acceptable treatments.
What are the most specific CT findings for acute gangrenous cholecystitis?
Gas in the wall or lumen, intraluminal membranes, irregular wall, and pericholecystic abscess.
Markedly distended gallbladder with associated stranding in the fat surrounding the fundus. cholelithiasis and intraluminal septations can be observed, findings related to intraluminal membranes. The caudal aspect of the gallbladder does not exhibit enhancement, being compatible with necrosis.
Additionally an infrarenal aortic aneurysm was detected.
The findings and patients clinical presentation were suggestive of gangrenous cholecystitis.