PMC5317068_01
Transaxial section from abdominal computed tomography showing dumbbell gallbladder with a partial stricture (blue arrow) creating a proximal end (yellow arrow) and distal end (green arrow). Posteroinferior hepatic abscess is also demonstrated
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F1
Intensive Care Unit with severe acute on chronic abdominal pain and sepsis 3 months postoperatively. Initial workup included an abdominal computed tomography (CT) which showed gallbladder fundus wall thickening, pericholecystic edema, dependent cholelithiasis, and a right posteroinferior hepatic abscess [Figures 1 and 2].
Coronal sections from anterior to posterior showing proximal end (yellow arrow in a) and distal end (green arrows in b and c) of the dumbbell gallbladder. Gallbladder wall thickening and pericholecystic edema of the distal end are also seen
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F2
Intensive Care Unit with severe acute on chronic abdominal pain and sepsis 3 months postoperatively. Initial workup included an abdominal computed tomography (CT) which showed gallbladder fundus wall thickening, pericholecystic edema, dependent cholelithiasis, and a right posteroinferior hepatic abscess [Figures 1 and 2].
Tc-99m diisopropyliminodiacetic acid planar hepatobiliary scintigraphy showing anterior projections at 30 min (a), 60 min (b), right lateral projection at 60 min (c), and anterior projection at 4 h (d), yellow arrows indicate radiotracer filling in the proximal end of the dumbbell gallbladder at 60 min (b and c), and 4 h (d). There is absent filling of the distal end of the dumbbell gallbladder
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F3
Tc-99m diisopropyliminodiacetic acid (DISIDA) to rule out acute cholecystitis [Figure 3]. The scan revealed incomplete gallbladder filling, with no radiotracer filling of the distal gallbladder fundus.
Percutaneous cholangiogram showing contrast filling within the proximal end (yellow arrow) and distal end (green arrow) of the dumbbell gallbladder
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F4
Percutaneous cholangiogram also confirmed this dumbbell morphology, with contrast filling both ends of the dumbbell gallbladder [Figure 4].