PMC5429931_01
Abdominal contrast enhanced CT scan, portal phase distended gallbladder with focal enhancement defect.
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fig1
CT scan with was realized with contrast injection. Cholecystitis was revealed by a gallbladder enlargement (Figure 1) with intraluminal hemorrhage (Figure 2), wall thickening, and free fluid. Focal enhancement defects (Figure 1) suggested ischemic phenomena and preperforative gallbladder.
Abdominal unenhanced CT scan: high attenuation area, suggesting an intraluminal hemorrhage.
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fig2
CT scan with was realized with contrast injection. Cholecystitis was revealed by a gallbladder enlargement (Figure 1) with intraluminal hemorrhage (Figure 2), wall thickening, and free fluid.
Abdominal contrast enhanced CT scan, portal phase: "Whirl sign" of the gallbladder pedicle.
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fig3
Torsion was revealed by a whirl sign of the cystic pedicle (Figure 3) and lateral position of the gallbladder neck.
Laparoscopic view.
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fig4
Surgery revealed a necrotic gallbladder, rotated to 720 degrees clockwise around its mesentery (Figure 4).