Acalculous cholecystitis

Case contributed by Dr Thomas Snow


Recently diagnosed acute lymphocytic leukaemia, presents pancytopaenic with septic shock and abdominal pain.

Patient Data

Age: 60 years
Gender: Male

Contrast enhanced CT abdomen

Massively thickened gall bladder wall, dense fluid. No gas in the wall, no stones, no biliary dilatation.

Mild bilateral pleural effusion with right lung lower lobe subsegmental consolidation as well as minimal perihepatic ascites.


Transhepatic cholecystostomy

Thick wall gallbladder. No stones within.

Case Discussion

Many operators prefer transhepatic percutaneous cholecystostomy as the risk of bile peritonitis and hemorrhage are less. It gives a good view of the needle pass into the liver, but is often slightly awkward for a right handed operator.

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Case information

rID: 37090
Published: 26th May 2015
Last edited: 14th Aug 2019
Tag: gb
Inclusion in quiz mode: Included

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