PMC3015641_01
X-ray showing gas in and around the gallbladder.
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F1
Plain abdominal radiography revealed a circular gas pattern in the area of the gallbladder suggestive of emphysematous cholecystitis (Figure 1).
Computed tomographic scan showing intramural gas and gas-fluid level in the gallbladder.
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F2
Subsequent computed tomography (CT) confirmed the presence of gas in the gallbladder wall and a gas-fluid level within the organ (Figure 2).
Laparoscopic image showing bubbling from the gall-bladder wall.
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F3
Calot's triangle and exposure of the cystic duct, intraoperative cholangiography was performed that excluded biliary obstruction. Cholecystectomy followed, during which bubbling from the gallbladder wall was observed (Figure 3).