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Figure 1. A 67-year-old patient with type 2 diabetes who had no history of biliary disease was admitted to the emergency department for acute pain in the right upper quadrant. A plain abdominal film obtained while the patient was upright showed an airfluid level in the lumen of the gallbladder (arrow) and gas in its wall (black arrowheads). There was diffusion of gas around the gallbladder and beneath the liver (white arrowheads). Emergency cholecystectomy was performed and the diagnosis of emphysematous cholecystitis, with perforation of the gallbladder into the right side of the retroperitoneal space by an obstructive stone . . . [Full Text of this Article] |