PMC5749201_01
(a) Axial non-enhanced computed tomography scan shows extensive high-density ascites containing free, spillage gallstones (white arrows) and cystic duct stone of the gallbladder (black arrow). (b) Axial view. (c) Coronal view. Enhanced computed tomography of the abdomen. Computed tomography images showings active extravasation of IV contrast material inside the gallbladder (white arrows) with a defect on the wall (black arrows) indicating active bleeding and surrounding haemoperitoneum
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F1
Abdominal computed tomography (CT) imaging showed a large haematoma in the peritoneal cavity, with active extravasation of contrast material and gallstones spillage in the gallbladder fossa [Figure 1a-c].
Laparoscopic view. (a and b) A large quantity of blood and free gallstones were observed. (c) The gallbladder was avulsed from its cirrhotic liver bed due to haemorrhage and laparoscopic cholecystectomy was performed
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F2
The patient was taken to the operating room for urgent LC [Figure 2a-c].