case_images: PMC7537693_01
case_images: Abdominal ultrasound: normal gall bladder with stones without dilatation of the bile duct.
case_images: CRIM2020-6504260.001.jpg
case_images: PMC7537693_01_CRIM2020-6504260.001.jpg
case_images: fig1
case_images: On abdominal ultrasound, the gallbladder was normal with stones inside, with the biggest size 1.29 cm without dilatation of the bile duct system (Figure 1).
case_images: Abdominal CT scan: nonconclusive finding.
case_images: CRIM2020-6504260.002.jpg
case_images: PMC7537693_01_CRIM2020-6504260.002.jpg
case_images: fig2
case_images: There was also nonconclusive finding on abdominal computed tomography (Figure 2).
case_images: Abdominal MRI: (a) gall bladder with the stone inside (arrow) and free peritoneal fluid; (b) no dilatation of the intrahepatic bile duct (IHBD) and extra hepatic bile duct (EHBD).
case_images: CRIM2020-6504260.003.jpg
case_images: PMC7537693_01_CRIM2020-6504260.003.jpg
case_images: fig3
case_images: MRI was performed due to the jaundice and direct hyperbilirubinemia, and the result showed that there were two gallstones, without dilatation of IHBD and EHBD (Figure 3).
case_images: Gall bladder specimen: (a) perforated tract marked with a thread; (b) gall bladder section through the tract.
case_images: CRIM2020-6504260.004.jpg
case_images: PMC7537693_01_CRIM2020-6504260.004.jpg
case_images: fig4
case_images: On the specimen examination, we found a perforated tract on the fundus of the gallbladder surrounded by the focal necrotic area (Figure 4).