Fig. 6
From: Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)
GB perforation in a 70-year-old diabetic female presented with acute abdominal pain. US was relatively hampered by anterior abdominal wall gas and obesity. Axial CECT scan (a, b) shows contracted thick-walled GB with large stone (double arrows) at its neck. Stent is also noted (arrow). There are air and collection in the anterior abdominal wall with a track related to GB fundus (arrowhead). c Skin incision shows subcutaneous bile and bile-stained tissues. Note the inflammatory changes in the adjacent skin