PMC5964409_01
Plain abdominal radiograph. Air outlining the gallbladder.
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fig1
Plain abdominal flat plate revealed air outlining the gallbladder (Figure 1).
CT scan. Extensive intramural gas with a thickened gallbladder wall surrounded by marked inflammatory changes.
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fig2
Imaging was consistent with a perforated, emphysematous gallbladder (Figure 2).