Man 67 y o,
emergency operation by acute necrosis of gallbladder by stone one week ago, still
pain at Murphy area. WBC = 12k with neutro 90%, CRP=
100ng/mL.
Abdomen ultrasound
detected one mass # 5 cm at the bed of gallbladder. Mass has got fluid content and white structures inside with very
strong shadowing and air in formatting an abscess.
No dilatation
of the biliary system.
US 1:
subhepatic abscess with strong shadowing in abscess.
US 2: umbrella sign of the
shadowing.
US 3:
elatoscan shows this structure is very hard.
MSCT:
CT 1: abscess with air and fluid filling at the bed of gall
bladder which had been removed of GB.
CT 2:
crossed-section view of this abscess:
inhomogenous structure and air
CT 3: frontal view of the
abscess.
Radiologist
reported textilloma in suspection.
Laparoendoscopy detected an abscess in liver at the bed of gallbladder necrosis and no textilloma.
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