England RW(1), Heiberger C(2), Singh H(2). Author information:
(1)The Division of Interventional Radiology, Russell H. Morgan Department of
Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore,
Maryland, USA [Email]
(2)The Division of Interventional Radiology, Russell H. Morgan Department of
Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore,
Maryland, USA.
Percutaneous cholecystostomy (PC) is a common minimally invasive, image-guided procedure performed primarily on high-risk patients with acute cholecystitis for gallbladder decompression. Herein, we present a case of a patient undergoing PC placement using a transperitoneal approach. On subsequent upsizing attempts, the gallbladder fundus was found to invaginate during advancement of replacement drains, causing gallbladder intussusception. The use of a balloon and locked pigtail catheter were required to reposition the gallbladder to proper position. The patient's planned percutaneous cholecystoscopy was delayed by 4 weeks until intended upsizing could be performed. This case demonstrates the advantage of achieving transhepatic gallbladder access to support tract formation and limit procedural complications.
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