CASE OF THE MONTH

1999

ANSWER

FOR OCT


Fig 1

Figure 1

Fig 1

Figure 3

Fig 2

Figure 2

Figure 1 AXR shows collection of gas with the configuration of gall bladder in the right upper quadrant.

Figure 2 AXR(RUQ, 36 hours later) demonstrates that there is now mottled and curvilinear gas lucencies in the gall bladder region.There is also gas in the cystic duct.

Figure 3 CECT abdomen shows that there is gas in the gall bladder lumen and in the thickened gall bladder wall chacteristic of emphysematous cholecystitis.

DIAGNOSIS :

Emphysematous cholecystitis

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