Gallbladder empyema with percutaneous cholecystostomy

Discussion:

Gallbladder empyema is a clinical diagnosis, however imaging appearances can be highly suggestive.

There is a growing role for the initial treatment with a percutaenous cholecystostomy, particularly in those with multiple medical co-morbidities or poor surgical candidates.

Ideally a transhepatic approach is undertaken, with often remarkable and prompt improvement in the patients condition.

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