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RADIOLOGY: ABDOMEN: Case# 122: ?PERFORATED GB. The patient is an eighty-seven year old female with end stage renal disease on peritoneal dialysis. Patient is complaining of mild diffuse abdominal pain and cloudy peritoneal dialysis lavage fluid which is positive for gram negative rods. CT of the abdomen is requested to evaluate for peritonitis or abscess. In the region of the gallbladder fossa, there is irregular ring-like enhancement surrounded by low attenuation fluid (measuring approximately -2 Hounsfield units). A moderate amount of free fluid with similar attenuation is noted in the pelvis (measuring -1 Hounsfield units). Several pockets of free intraperitoneal air are noted. A dialysis catheter is seen in the left low anterior abdominal wall adjacent to the midline and extending into the peritoneal cavity (not shown).

Author

Peter Anderson

Posted on

Thursday 1 August 2013

Tags

abdomen, radiology

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• PEIR Radiology / Abdomen

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