Mirizzi syndrome type V. Сholecysto-enteric fistula. Emphysematous cholecystitis
Axial CT scan with contrast enhancement. A 79-year-old-female patient. A large stone, measuring 60 x 30 mm is filling the lumen of the entire gallbladder with cholecysto-enteric fistula - Mirizzi syndrome type V. Mirizzi syndrome refers to an uncommon phenomenon that results in extrinsic compression of an extrahepatic biliary duct from one or more calculi within the cystic duct or gallbladder. Pneumobilia is also evident. Pneumobilia, which is also known as aerobilia, is the accumulation of gas in the biliary tree. The gallbladder is not significantly dilated. Small bubbles of gas in the wall of the bladder - Emphysematous cholecystitis.
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