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
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.- In this: publication
- By this: publisher
- In this Subject: Radiology & Imaging
- By this author: JUNG, H S ; HUH, K ; SHIN, Y H ; KIM, J K ; YUN, C S ; PARK, C H ; JANG, J B

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