Electronic Clinical Challenges and Images in GIAn Unusual Cause of Abdominal Pain in a Cirrhotic Patient
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Answer to the Clinical Challenges and Images in GI Question: Image 2: Liver Cirrhosis With a Floating Gallbladder
We consulted the surgeon and gallbladder rupture was suspected because of gallstone dislocation and perihepatic ascites. Open cholecystectomy was performed and a mildly edematous gallbladder displaced on the liver surface was seen (Figure C). The ligament of cystic duct was relatively laxative. A black pigmented stone was found inside the gallbladder. Retrospectively, the CT scan (Figure A) disclosed perihepatic pseudoascites, which was a fluid-filled gallbladder. Final diagnosis was liver
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