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Gangrenous cholecystitis (GC) is the most severe form of cholecystitis and is associated with acute pancreatitis. Once GC diagnosis is established, urgent cholecystectomy is recommended. The preoperative diagnosis is challenging, and clinical judgment can be critical. We report a case of GC with acute pancreatitis diagnosed in the absence of definite laboratory or imaging evidence.  Keywords: gangrenous cholecystitis; acute pancreatitis; diagnosis; clinical judgment.  Abbreviations: GC: Gangrenous cholecystitis; CT: computed tomography

journal of clinical images and medical case reports

Acute pancreatitis associated with gangrenous cholecystitis in the absence of definitive laboratory or imaging evidence: Case report and literature review