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Figure 1: Ultrasound showing double-wall thickening of the gallbladder
with trace pericholecystic fluid with no distention
Figure 2: Abdominal CT revealed gallbladder wall thickening with an
abrupt tapering of the cystic duct and cystic artery
Figure 3: Intraoperative imaging showing a large distended gangrenous
cholecystitis complicating gallbladder volvulus
Figure4: Intraoperative imaging showing: detorsion was done manually by
the flange section, and Cystic duct and cystic artery were identified by
dissection, they were ligated and cut.