case_images: PMC10787536_01
case_images: Dilated common bile duct and hepatic ducts in pre-operative evaluation with MRCP.. Arrows are pointing at two gallstones in the common bile duct (choledocholithiasis).. MRCP, magnetic resonance cholangiopancreatography.
case_images: 10.1177_26317745231223312-fig1.jpg
case_images: PMC10787536_01_10.1177_26317745231223312-fig1.jpg
case_images: fig1-26317745231223312
case_images: Laboratory tests and imaging evaluation were consistent with acute cholecystitis due to choledocholithiasis accurately depicted with magnetic resonance cholangiopancreatography (Figure 1).
case_images: Ultrasound images: (a) perisplenic fluid with internal echoes (star), (b) subhepatic/perihepatic fluid with internal echoes (star), and (c) air-filled intrahepatic bile ducts (arrow).. gb, gallbladder; pt, pancreatic tail; s, spleen.
case_images: 10.1177_26317745231223312-fig2.jpg
case_images: PMC10787536_01_10.1177_26317745231223312-fig2.jpg
case_images: fig2-26317745231223312
case_images: The following abdominal ultrasound scan revealed free peritoneal fluid perisplenic, subdiaphragmatic as well as subhepatic with some echogenic foci, especially in the splenonephric pouch (Figure 2).
case_images: Contrast-enhanced CT scan: (a) arterial phase and (b) venous phase.. Stars, intra-abdominal free fluid (perihepatic and perisplenic); thick arrow, air-filled intrahepatic bile ducts; thin arrow, splenic active bleeding; triangle, splenic capsule rupture.
case_images: 10.1177_26317745231223312-fig3.jpg
case_images: PMC10787536_01_10.1177_26317745231223312-fig3.jpg
case_images: fig3-26317745231223312
case_images: A CT scan with intravenous contrast administration confirmed hemoperitoneum due to splenic rupture with subcapsular and perisplenic hematoma as well as active bleeding (Figure 3).