Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by D'Agostino, H. B.
Right arrow Articles by Casola, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by D'Agostino, H. B.
Right arrow Articles by Casola, G.

Radiology, Vol 181, 675-678, Copyright © 1991 by Radiological Society of North America

ARTICLES

Imaging of the percutaneous cholecystostomy tract: observations and utility

HB D'Agostino, E vanSonnenberg, RB Sanchez, BW Goodacre and G Casola
Department of Radiology, University of California, San Diego 92103.

The technique and observations in 28 patients who underwent imaging of the percutaneous cholecystostomy (PC) tract are described. Imaging of the tracts was performed by injecting contrast material through an end- hole dilator during catheter removal (n = 13) or through an end-hole dilator with a side adapter over a thin guide wire (n = 15); the latter method permitted simple catheter reinsertion if the tract was poorly formed. Catheters were removed between 9 and 158 days (mean, 36.6 days; median, 29.5 days) after PC. Twenty-three patients had well-formed tracts and five patients did not. Among the five patients with a poorly formed tract, two experienced no sequela as a result of catheter withdrawal, two underwent immediate catheter reinsertion, and one developed bile peritonitis; this last patient was treated with repeated PC and antibiotics. All patients in whom a catheter was placed for at least 20 days had a well-formed, intact tract. Imaging of the PC tract is helpful to identify patients who have an immature tract. In a patient with a poorly formed tract, catheter reinsertion may be advisable to prevent bile leakage and peritonitis.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
J. N. Wise, D. A. Gervais, A. Akman, M. Harisinghani, P. F. Hahn, and P. R. Mueller
Percutaneous Cholecystostomy Catheter Removal and Incidence of Clinically Significant Bile Leaks: A Clinical Approach to Catheter Management
Am. J. Roentgenol., May 1, 2005; 184(5): 1647 - 1651.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1991 by the Radiological Society of North America.