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Surgical Images Imagier chirurgical
A 51-year-old woman was seen with a 1-day history of continuous pain in the right upper abdominal quadrant and emesis. On physical examination she had tenderness in that area and was afebrile. The leukocyte count and results of liver function tests were within normal limits. Computed tomography (Fig. 1) demonstrated focal thickening in the wall of the gallbladder fundus. Ultrasonography, which was limited by her abdominal panus, showed 3 gallstones within the gallbladder. The patient's pain did not resolve when antibiotics were given intravenously. Cholecystitis in the absence of a leukocytosis was suspected, so radionuclide hepatobiliary scanning was done. It revealed a "hooked" gallbladder with delayed filling of the corpus and fundus (Fig. 2).
The...