A 41-year-old male patient presented to an emergency department with chief complaints of abdominal pain. History No significant past medical, psychosocial, and family history. USG Distended gallbladder wall seen with wall thickness measuring 7 mm along with pericholecystic fluid suggestive of acute cholecystitis. A 7 mm calculus also noted in the cystic duct.
Common bile duct diameter was 4 mm and portal vein trunk diameter was 10 mm A hypodense lesion 11 by 15 mm seen in the left lobe of liver. The patient was diagnosed with mild acute calculous cholecystitis and was discharged on oral antibiotics and advised for interval cholecystectomy in four weeks. After two weeks, the patient presented again to the emergency department with periumbilical, postprandial abdominal pain with nausea and vomiting but no fever, jaundice or change in bowel habits. Examination Vital signs normal The…
