case_images: PMC7306538_01
case_images: CT scan showing distended gallbladder with an impacted stone in neck/cystic duct.
case_images: gr1.jpg
case_images: PMC7306538_01_gr1.jpg
case_images: fig0005
case_images: CT scan abdomen and pelvis showed a distended gallbladder with a large stone in neck/cystic duct (Fig. 1, Fig. 2).
case_images: ERCP unable to visualize cystic duct.
case_images: gr3.jpg
case_images: PMC7306538_01_gr3.jpg
case_images: fig0015
case_images: Large cystic duct stone was seen which could not be retrieved (Fig. 3).
case_images: MRCP showing Mirizzi type I.
case_images: gr4.jpg
case_images: PMC7306538_01_gr4.jpg
case_images: fig0020
case_images: MRCP was done which showed Mirizzi's syndrome type I based on the finding of significantly distended gallbladder due to impacted 3.2 x 2.2 cm stone in gallbladder neck/cystic duct with extrinsic compression of common hepatic duct (Fig. 4).
case_images: Empyema gallbladder, per-operatively.
case_images: gr5.jpg
case_images: PMC7306538_01_gr5.jpg
case_images: fig0025
case_images: Patient was taken to operating room for cholecystectomy but preoperatively a huge empyema (Fig. 5) was encountered with a necrotic posterior gallbladder wall. 30cc of pus was aspirated from the gallbladder (Fig. 6).
case_images: Aspiration of pus from gallbladder.
case_images: gr6.jpg
case_images: PMC7306538_01_gr6.jpg
case_images: fig0030
case_images: Patient was taken to operating room for cholecystectomy but preoperatively a huge empyema (Fig. 5) was encountered with a necrotic posterior gallbladder wall. 30cc of pus was aspirated from the gallbladder (Fig. 6).
case_images: Stone impacted at neck of gallbladder (white arrow).
case_images: gr7.jpg
case_images: PMC7306538_01_gr7.jpg
case_images: fig0035
case_images: A large stone impacted in the neck of gallbladder was located and extracted (Fig. 7).