Left-sided gallbladder: a complicated percutaneous cholecystostomy and subsequent hepatic embolisation

Authors: JUNG, H S; HUH, K; SHIN, Y H; KIM, J K; YUN, C S; PARK, C H; JANG, J B

Source: British Journal of Radiology, Volume 82, Number 979, July 2009 , pp. e141-e144(4)

Publisher: British Institute of Radiology

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Abstract:

A 68-year-old male patient with chronic hypertension, diabetes mellitus and chronic renal failure was diagnosed with acute calculous cholecystitis. A percutaneous cholecystostomy using a transperitoneal approach was performed after two failed attempts with a right-sided transhepatic approach. Subsequent hepatic embolisation was performed for the treatment of haemoperitoneum due to hepatic injury after the percutaneous cholecystostomy. The presence of a left-sided gallbladder was confirmed by laparoscopic cholecystectomy after 1 week. Prior identification of this anomaly would have prevented hepatic injury through the use of a cautious procedure against mobility or careful selection of the approach routes. In conclusion, the transperitoneal approach can be easier or more preferable to perform for a percutaneous cholecystostomy of a left-sided gallbladder.

Document Type: Case report

DOI: http://dx.doi.org/10.1259/bjr/59092209

Publication date: 2009-07-01