title: Delayed gallbladder rupture following percutaneous cholecystostomy.
abstract: Percutaneous cholecystostomy has become an accepted therapeutic alternative for high-risk patients with acute cholecystitis. However, some authors have cautioned that patients with gallbladder wall necrosis and gangrene may not be effectively treated by means of percutaneous drainage alone. A case is reported in which gallbladder wall necrosis progressed following technically successful percutaneous drainage. Spontaneous gallbladder rupture ensued, necessitating emergent cholecystectomy. Cholecystography 2 weeks following tube placement and 1 week prior to rupture showed a markedly abnormal, irregular gallbladder lumen. The authors suggest that follow-up cholecystography may be a useful tool for evaluating patient response to percutaneous cholecystostomy and for determining subsequent patient management.
authors.affiliation: Department of Radiology, University of California, San Fransisco 94143-0628.
authors.forename: J M
authors.initials: JM
authors.lastname: LaBerge
authors.forename: R L
authors.initials: RL
authors.lastname: Gordon
authors.forename: R K
authors.initials: RK
authors.lastname: Kerlan
authors.forename: E J
authors.initials: EJ
authors.lastname: Ring
mesh_terms: D000208:Acute Disease; D002764:Cholecystitis / Q000601:surgery*; D002767:Cholecystostomy; D005705:Gallbladder Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D013997:Time Factors