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 |
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