PMC4528048_01
Ultrasound appearance of thickened wall gallbladder.
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PMC4528048_01_gr1.jpg
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A second abdominal ultrasound demonstrated acalculous gallbladder with overdistention, wall thickening (up to 11 mm) and pericholecystic fluid (Fig. 1).
PMC4528048_02
Computed axial tomography demonstrating thickening of the gallbladder with surrounding edema and inflammation.
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PMC4528048_02_gr2.jpg
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ACC by showing gallblader with overdistention, wall thickening (mm) and biliary sludge (Fig. 2). ACC was diagnosed, and the medical therapy was continued (broad spectrum antibiotic regimen, intravenous fluid, fasting).