Case 5:   Abscess (pericholecystic)

Diagnostic Category:

Clinical Presentation:

72 year old woman with clinical signs of acute cholecystitis.

CT: Loculated abscess next to gangrenous gallbladder

Imaging Findings:

Gangrenous cholecystitis and liver abscess. Patient was operated. Pathology revealed acute cholecystitis with adjacent liver abscess in segment 4 and 5. Note multiple loculations but no distinct solitary abscess wall, representing transition between acute and subacute abscess.

Courtesy Tarun Pandey, MD, Hemendra Shah, MD, University of Arkansas for Medical Sciences, AK, USA.