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British Journal of Radiology (2009) 82, e141-e144
© 2009 British Institute of Radiology
doi: 10.1259/bjr/59092209
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British Journal of Radiology 82 (2009),e141-e144 ©2009 The British Institute of Radiology

Left-sided gallbladder: a complicated percutaneous cholecystostomy and subsequent hepatic embolisation

H S JUNG, MD 1 K HUH, MD Y H SHIN, MD 3 J K KIM, MD 3 C S YUN, MD 1 C H PARK, MD 1 and J B JANG, MD 1

Departments of 1 Diagnostic Radiology, 2 Surgery and 3 Nephrology, Bongsaeng Memorial Hospital, Busan, Korea

Correspondence: H S Jung, Department of Diagnostic Radiology, Bongsaeng Memorial Hospital, Busan, Korea. E-mail: jhs0620{at}dreamwiz.com. E-mail: jhs0620{at}yahoo.co.kr

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.






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