PEIR Digital Library

Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education.

Home /

00133097

00133097.jpg 00133096Thumbnails0013309800133096Thumbnails00133098

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
Keywords
abdomen, radiology
Visits
1548

0 comments