case_images: PMC6699282_01
case_images: Ultrasound of gallbladder showing inflamed gallbladder with multiple nonmobile stones with shadowing in the gallbladder body. The gallbladder wall is thickened to 0.99 cm. A moderate amount of pericholecystic fluid is identified.
case_images: CRICC2019-5057071.001.jpg
case_images: PMC6699282_01_CRICC2019-5057071.001.jpg
case_images: fig1
case_images: To exclude cholecystitis, a liver and gallbladder ultrasound. (Figure 1) was performed, revealing multiple nonmobile stones with shadowing noted within the gallbladder sac, a thickened gallbladder wall, and a moderate amount of pericholecystic fluid.
case_images: IR-guided cholecystostomy tube placement and drainage and irrigation of the gallbladder with 60 cc of black bile aspiration.
case_images: CRICC2019-5057071.002.jpg
case_images: PMC6699282_01_CRICC2019-5057071.002.jpg
case_images: fig2
case_images: An ultrasound guided gallbladder drain (Figure 2) was performed.
case_images: Indium-111 white blood cell scan showing no localization of abscess and atypical diffuse pulmonary uptake of white blood cells, which can be associated with an opportunistic infection, pulmonary drug toxicity, and sepsis.
case_images: CRICC2019-5057071.003.jpg
case_images: PMC6699282_01_CRICC2019-5057071.003.jpg
case_images: fig3
case_images: Indium-111 tagged WBC scan was performed (Figure 3) to make sure we have not missed another source of infection.