Iatrogenic gallbladder perforation: conservative management by percutaneous drainage and cholecystostomy.
Gallbladder perforation is an uncommon complication of percutaneous liver biopsy. Diagnosis is usually made clinically and management has traditionally been by cholecystectomy. We report a case of gallbladder perforation secondary to percutaneous liver biopsy diagnosed by dimethyl iminodiacetic acid (HIDA) scan and managed successfully by percutaneous drainage and cholecystostomy. This case illustrates the role of conservative management in selected cases of gallbladder perforation.
Lublin
M
M
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
Danforth
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DN
D001707:Biopsy, Needle / Q000009:adverse effects; D002765:Cholecystography; D002767:Cholecystostomy; D004322:Drainage; D005704:Gallbladder / Q000293:injuries*; D019698:Hepatitis C, Chronic / Q000473:pathology; D006801:Humans; D007049:Iatrogenic Disease; D008099:Liver / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed