Therapeutic experience of an 89-year-old high-risk patient with incarcerated cholecystolithiasis: A case report and literature review

Figure 1 Preoperative abdominal magnetic resonance imaging, intraoperative findings, and postoperative pathological examination. A: Magnetic resonance imaging showed gallbladder wall thickness and pericholecystic fluid (orange arrow); B: A high-signal shadow of about 2 cm in diameter was seen in the gallbladder neck (orange arrow); C: Magnetic resonance cholangiopancreatography showed filling defect of the gallbladder neck (orange arrow); D: Laparoscopic port (black arrow), upper abdominal incision scar (orange arrow); E: Abdominal purulent effusion (orange arrow); F: Severe right upper abdominal adhesions (orange arrow); G: Gallbladder wall gangrene; H: Gallbladder bed wound (orange arrow), cystic duct clamp (yellow arrow), common bile duct (black arrow); I: Massive neutrophil infiltration, abscess and necrosis formation in the gallbladder wall (black arrow), gallbladder mucosal epithelial necrosis and shedding (yellow arrow), hematoxylin and eosin staining, × 200.