All that Glitters is not Cholecystitis. A Rare Presentation of Acute Pericarditis Mimicking Cholecystitis and Review of the Literature

Figures

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  Figure 1.. The chest X-Ray revealing cardiomegaly and increased cardiothoracic ratio (CTR). a: Face; b: Profile.

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  Figure 2.. Abdominal ultrasound (US) findings. a, b: Gallbladder edema without gallstones, extra- nor intra-hepatic dilations nor pericholecystic fluid and a dilated inferior vena cava; c: Color doppler sonography demonstrated also reduced blood flow to the inferior vena cava.

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  Figure 3.. Transthoracic echocardiogram (TTE) revealing a large circumferential pericardial effusion creating an echo-free space of 4,6 cm and a swinging heart.

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  Figure 4.. Echocardiogram (ECG) revealing sinus rhythm and diffuse ST segment elevation.

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  Figure 5.. Abdominal computed tomography (CT) revealing gallbladder edema without gallstones and pericholecystic fluid.

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  Figure 6.. Chest computed tomography (CT) revealing a pericardial effusion and a small left pleural effusion. a: Transverse section; b: Coronal section; c: Sagittal section.