PMC3959291_01
CT Scan: Demonstration of gallbladder filled with blood and aneurysm
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F1
CT scan revealed markedly distended gallbladder lumen filled with high Hounsfield Unit (H.U.) (60-70) content suggestive of blood along with a 20 mm x 16 mm in size, well-defined, intensely enhanced lesion arising from the wall of the body of the gallbladder and very likely representing vascular pathology [Fig. 1].
Contrast enhanced MRI: Demonstration of features of cholecystitis with aneurysm
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F2
MR angiography revealed a 21x17 mm sized aneurysm arising from the terminal end of the cystic artery with a secondary bleeding within gallbladder lumen [Fig. 2,3].
Surgical photographs: Demonstration of blood clots coming out after opening fundus of the gallbladder
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F4
Gallbladder was opened on fundus and blood clots were drained [Fig. 4].