Left-sided gallbladder: a complicated percutaneous cholecystostomy and subsequent hepatic embolisation.
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.
Jung
H S
HS
Department of Diagnostic Radiology, Bongsaeng Memorial Hospital, Busan, Korea. jhs0620@dreamwiz.com
Huh
K
K
Shin
Y H
YH
Kim
J K
JK
Yun
C S
CS
Park
C H
CH
Jang
J B
JB
D000208:Acute Disease; D000368:Aged; D016063:Blood Loss, Surgical; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery; D002767:Cholecystostomy / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods; D005704:Gallbladder / Q000002:abnormalities*; D042882:Gallstones / Q000534:rehabilitation / Q000601:surgery; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008099:Liver / Q000293:injuries; D008297:Male; D014057:Tomography, X-Ray Computed