Man 67 y o, emergency operation by acute necrosis of gallbladder by stone one week ago, still pain at Murphy area. WBC = 12k with neutro 90%, CRP= 100ng/mL.
Abdomen ultrasound detected one mass # 5 cm at the bed of gallbladder. Mass has got fluid content and white structures inside with very strong shadowing and air in formatting an abscess.
No dilatation of the biliary system.
US 1: subhepatic abscess with strong shadowing in abscess.
US 2: umbrella sign of the shadowing.
US 3: elatoscan shows this structure is very hard.
MSCT: CT 1: abscess with air and fluid filling at the bed of gall bladder which had been removed of GB.
CT 2: crossed-section view of this abscess: inhomogenous structure and air
CT 3: frontal view of the abscess.
Radiologist reported textilloma in suspection.
Wait for reoperation.