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Related Experiment Videos

Delayed gallbladder rupture following percutaneous cholecystostomy.

J M LaBerge1, R L Gordon, R K Kerlan

  • 1Department of Radiology, University of California, San Fransisco 94143-0628.

Journal of Vascular and Interventional Radiology : JVIR
|November 11, 1991
PubMed
Summary

Percutaneous cholecystostomy is an option for acute cholecystitis. However, follow-up imaging is crucial as gallbladder necrosis can progress despite drainage, potentially leading to rupture.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Surgical Innovation

Background:

  • Percutaneous cholecystostomy (PC) is a minimally invasive procedure for acute cholecystitis in high-risk patients.
  • Concerns exist regarding PC's efficacy in cases of gallbladder wall necrosis and gangrene.

Observation:

  • A case demonstrated progression of gallbladder necrosis after a successful PC.
  • This progression led to spontaneous gallbladder rupture, requiring emergency surgery.

Findings:

  • Follow-up cholecystography revealed a markedly abnormal and irregular gallbladder lumen prior to rupture.
  • This suggests PC alone may be insufficient for severe gallbladder necrosis.

Implications:

  • Follow-up cholecystography can assess treatment response to PC.

Related Experiment Videos

  • This imaging may guide further management decisions in patients with complicated cholecystitis.