Vicarious excretion of water-soluble contrast media into the gallbladder in patients with normal serum creatinine

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

A known case of upper esophageal Cancer and gastrostomy feeding tube inserted 2 weeks back, complaining of pus around the tube? intra-abdominally Collection.

Patient Data

Age: 83 years
Gender: Female

Easily flow of contrast ( water-soluble contrast) through the tube to the insertion site with evidence of backflow of contrast around the tube externality.

Note the presence of hyperdense content within the gallbladder.

a post-interventional change seen in the left lateral anterior abdominal wall and reaching to the body of the stomach.

There are edematous left lateral anterior abdominal wall and gas locules between the muscles and fat stranding suggestive of inflammatory process seen in the left lateral anterior abdominal wall.

Multiple surgical clips are seen on the right side for the anterior abdominal wall vertically.

Case Discussion

This patient subjected 4 days back of fluoroscopic study to make insurance of intact gastrostomy tube, and no history any renal or GB disease, then asked CT abdomen to R/O intra-abdominal collection and subjected to CT triphasic protocol and we found in non-enhanced phase their  hyperdense matter in the GB suggesting of Vicarious excretion of contrast into the gallbladder.

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Case information

rID: 54436
Case created: 10th Jul 2017
Last edited: 11th Jul 2017
Inclusion in quiz mode: Included

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