PMC9278497_01
Abdominal ultrasound shows sludge in the gallbladder, gallbladder wall thickening, and pericolecystic fluid.
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Abdominal ultrasound showed sludge and small stones within the gallbladder, as well as wall thickening and pericholecystic fluid consistent with acute calculous cholecystitis (Figure 1).
Echocardiography showing left ventricular ballooning.
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Echocardiography showed severe hypokinesis of the mid- to distal anterior, anteroseptal, apical, and mid- to distal anterolateral walls which was consistent with TC (Figures 2(a)-2(b), video clip 1); ejection fraction was 20-25%.
Gallbladder specimen: acute gangrenous and chronic cholecystitis.
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She underwent interval laparoscopic cholecystectomy, which was technically very challenging due to severe ongoing acute and chronic cholecystitis (Figure 3).