case_images: PMC9946451_01
case_images: Bilirubin changes.
case_images: fmed-10-1124863-g001.jpg
case_images: PMC9946451_01_fmed-10-1124863-g001.jpg
case_images: fig1
case_images: Therefore, he received continuous gastrointestinal (GI) decompression and intermittent enemas. The patient was changed to veno-arterial-venous (VAV)-ECMO on September 10, 2021(Right femoral artery, right femoral vein, right internal jugular vein), due to inadequate oxygenation, and his circulation and oxygenation functions gradually improved. The TBI level rose to 152.4 mumol/l on September 11, 2021 (Figure 1).
case_images: The abdominal computed tomography (A-D) levels showed no significant abnormality of the gallbladder.
case_images: fmed-10-1124863-g002.jpg
case_images: PMC9946451_01_fmed-10-1124863-g002.jpg
case_images: fig2
case_images: Abdominal CT (Figure 2) was performed with the assistance of ECMO and an intraaortic balloon pump (IABP).
case_images: Gangrenous gallbladder visible on dissection.
case_images: fmed-10-1124863-g003.jpg
case_images: PMC9946451_01_fmed-10-1124863-g003.jpg
case_images: fig3
case_images: Therefore, we performed the cholecystectomy with ECMO support, and the pathologic finding suggested gallbladder gangrene (Figure 3).