PMC6531828_01
Ultrasound demonstrating hypoechoic fluid collection in the anterior abdominal wall (labelled A), communicating via a defect (labelled B), with an underlying hyperechoic structure (labelled C).
gr1.jpg
PMC6531828_01_gr1.jpg
fig0005
This appears to communicate with a hyperechoic structure just below the abdominal wall (Fig. 1).
Intra-abdominal fluid collection seen as irregular hypodense lesion with peripheral enhancement.
gr2.jpg
PMC6531828_01_gr2.jpg
fig0010
An abdominal and pelvic CT was performed for further clarification and this revealed an intra-abdominal collection draining into the umbilicus (Fig. 2).
Gallstones expressing from the patient's umbilical wound.
gr3.jpg
PMC6531828_01_gr3.jpg
fig0015
She complained about gallstones being expressed from her poorly healed wound (Fig. 3).
Ultrasound showing two echogenic masses representing gallstones.
gr4.jpg
PMC6531828_01_gr4.jpg
fig0020
A repeat ultrasonography of the abdominal wall revealed the presence of two echogenic masses representing gallstones (Fig. 4).
Intraoperative images showing retained gallbladder in the peritoneal cavity with associated gallstones.
gr5.jpg
PMC6531828_01_gr5.jpg
fig0025
This revealed a retained gallbladder with numerous cholesterol stones (Fig. 5).