PMC9946451_01
Bilirubin changes.
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fig1
Therefore, he received continuous gastrointestinal (GI) decompression and intermittent enemas. The patient was changed to veno-arterial-venous (VAV)-ECMO on September 10, 2021(Right femoral artery, right femoral vein, right internal jugular vein), due to inadequate oxygenation, and his circulation and oxygenation functions gradually improved. The TBI level rose to 152.4 mumol/l on September 11, 2021 (Figure 1).
The abdominal computed tomography (A-D) levels showed no significant abnormality of the gallbladder.
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Abdominal CT (Figure 2) was performed with the assistance of ECMO and an intraaortic balloon pump (IABP).
Gangrenous gallbladder visible on dissection.
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fig3
Therefore, we performed the cholecystectomy with ECMO support, and the pathologic finding suggested gallbladder gangrene (Figure 3).