Percutaneous Cholecystostomy is
a minimally invasiver technique for the treatment of acute
cholecystitis. We recently performed the procedure for an elderly
gentleman suffering with severe abdominal pain. With help of ultrasound
and fluoroscopy in our cathlab, the gall bladder was punctured through
the skin and liver (transhepatic approach). A radio opaque dye was then
injected into the gall bladder to confirm the position. Using modified
seldinger's technique, a drainage catheter was passed into the gall
bladder, draining the infected bile and sludge outside into a sterile
bag. The pain dramatically reduced and patient was discharged to home.
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| Chiba Needle used to gain access into gall bladder |
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| Dilator passed over hair wire by Seldinger Technique |
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| Final position of drainage catheter |
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| Illustration showing the procedure |
