case_images: PMC5317068_01
case_images: Transaxial section from abdominal computed tomography showing dumbbell gallbladder with a partial stricture (blue arrow) creating a proximal end (yellow arrow) and distal end (green arrow). Posteroinferior hepatic abscess is also demonstrated
case_images: IJNM-32-36-g001.jpg
case_images: PMC5317068_01_IJNM-32-36-g001.jpg
case_images: F1
case_images: Intensive Care Unit with severe acute on chronic abdominal pain and sepsis 3 months postoperatively. Initial workup included an abdominal computed tomography (CT) which showed gallbladder fundus wall thickening, pericholecystic edema, dependent cholelithiasis, and a right posteroinferior hepatic abscess [Figures 1 and 2].
case_images: Coronal sections from anterior to posterior showing proximal end (yellow arrow in a) and distal end (green arrows in b and c) of the dumbbell gallbladder. Gallbladder wall thickening and pericholecystic edema of the distal end are also seen
case_images: IJNM-32-36-g002.jpg
case_images: PMC5317068_01_IJNM-32-36-g002.jpg
case_images: F2
case_images: Intensive Care Unit with severe acute on chronic abdominal pain and sepsis 3 months postoperatively. Initial workup included an abdominal computed tomography (CT) which showed gallbladder fundus wall thickening, pericholecystic edema, dependent cholelithiasis, and a right posteroinferior hepatic abscess [Figures 1 and 2].
case_images: Tc-99m diisopropyliminodiacetic acid planar hepatobiliary scintigraphy showing anterior projections at 30 min (a), 60 min (b), right lateral projection at 60 min (c), and anterior projection at 4 h (d), yellow arrows indicate radiotracer filling in the proximal end of the dumbbell gallbladder at 60 min (b and c), and 4 h (d). There is absent filling of the distal end of the dumbbell gallbladder
case_images: IJNM-32-36-g003.jpg
case_images: PMC5317068_01_IJNM-32-36-g003.jpg
case_images: F3
case_images: Tc-99m diisopropyliminodiacetic acid (DISIDA) to rule out acute cholecystitis [Figure 3]. The scan revealed incomplete gallbladder filling, with no radiotracer filling of the distal gallbladder fundus.
case_images: Percutaneous cholangiogram showing contrast filling within the proximal end (yellow arrow) and distal end (green arrow) of the dumbbell gallbladder
case_images: IJNM-32-36-g004.jpg
case_images: PMC5317068_01_IJNM-32-36-g004.jpg
case_images: F4
case_images: Percutaneous cholangiogram also confirmed this dumbbell morphology, with contrast filling both ends of the dumbbell gallbladder [Figure 4].