Cystic Duct Enhancement: A Useful CT Finding in the Diagnosis of Acute Cholecystitis Without Visible Impacted Gallstones

2015 ◽  
Vol 205 (5) ◽  
pp. 991-998 ◽  
Author(s):  
Sang Won Kim ◽  
Hyun Cheol Kim ◽  
Dal Mo Yang ◽  
Kyu Yeoun Won ◽  
Sung Kyoung Moon
Keyword(s):  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Ct Finding

Diagnosis of acute cholecystitis: value of contrast agent in the gallbladder and cystic duct on Gd-EOB-DTPA enhanced MR cholangiography

2014 ◽  
Vol 38 (2) ◽  
pp. 174-178 ◽  
Author(s):  
In Young Choi ◽  
Sang Hoon Cha ◽  
Suk Keu Yeom ◽  
Seung Wha Lee ◽  
Hwan Hoon Chung ◽  
...  
Keyword(s):  
Contrast Agent ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Mr Cholangiography

scholarly journals The Influence of Pre-Procedural Imaging and Cystic Duct Cholangiography on Endoscopic Transpapillary Gallbladder Drainage in Acute Cholecystitis

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1286
Author(s):  
Junya Sato ◽  
Kazunari Nakahara ◽  
Yosuke Michikawa ◽  
Ryo Morita ◽  
Keigo Suetani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Procedure Time ◽  
Technical Success ◽  
Factors Affecting ◽  
Gallbladder Drainage ◽  
Procedural Evaluation ◽  
The Relationship

Endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis is challenging. We evaluated the influence of pre-procedural imaging and cystic duct cholangiography on ETGBD. Patients who underwent ETGBD for acute cholecystitis were retrospectively examined. The rate of gallbladder contrast on cholangiography, the accuracy of cystic duct direction and location by computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP), and the relationship between pre-procedural imaging and the technical success of ETGBD were investigated. A total of 145 patients were enrolled in this study. Gallbladder contrast on cholangiography was observed in 29 patients. The accuracy of cystic duct direction and location (proximal or distal, right or left, and cranial or caudal) by CT were, respectively, 79%, 60%, and 58% by CT and 68%, 55%, and 58% by MRCP. Patients showing gallbladder contrast on cholangiography underwent ETGBD with a significantly shorter procedure time and a lower rate of cystic duct injury. No other factors affecting procedure time, technical success, and cystic duct injury were identified. Pre-procedural evaluation of cystic duct direction and location by CT or MRCP was difficult in patients with acute cholecystitis. Patients who showed gallbladder contrast on cholangiography showed a shorter procedure time and a lower rate of cystic duct injury.

Pope’s hat sign: another valuable CT finding of early acute cholecystitis

2017 ◽  
Vol 43 (7) ◽  
pp. 1693-1702 ◽  
Author(s):  
Seo-Youn Choi ◽  
Hae Kyung Lee ◽  
Boem Ha Yi ◽  
Min Hee Lee ◽  
Ji Eun Lee ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Ct Finding

scholarly journals OMENTUM PIECE FOR PREVENTION OF BILE LEAKAGE AFTER SUBTOTAL CHOLECYSTECTOMY

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Kaustubh Vasant Waikar
Keyword(s):  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Primary Closure ◽  
Bile Leak ◽  
Bile Leakage ◽  
Greater Omentum ◽  
Closure Technique ◽  
Subtotal Cholecystectomy ◽  
History Of

Introduction: Acute cholecystitis is an acute inflammatory condition of the gallbladder of which 95% of cases of acute cholecystitis are due to an obstructing calculus in the gallbladder neck or cystic duct. Acute cholecystitis and difficult gall bladder have severe inflammation and anatomical deformities i.e. empyema, Mirizzi syndrome and sometimes gangrene. In recent years, there is an increasing trend towards subtotal cholecystectomy and general acceptance is higher due to higher incidence of complications in difficult gall bladder. Although, the results of subtotal cholecystectomy are satisfactory but the post-operative bile leak is a problem of great concern. There are many techniques that have been adopted, but bile leakage compared to closing of cystic duct directly is very high in subtotal cholecystectomy.  Material and Methods:   The Omentum Plugging Technique (OPT) and Primary Closure Technique (PCT) was done to prevent bile leak in cases were total cholecystectomy could not be performed. Patients were included in the study with the diagnosis of cholelithiasis and patients who had undergone subtotal cholecystectomy for gallstone diseases with both OPT and PCT Technique. Under general anaesthesia patients were operated. Patients were first decompressed at the fundus with the suction and harmonic scalpel or l-hook was used for transection of gall bladder and wash was given and both the anterior and posterior walls were excised leaving an anterior and posterior wall intact and OPT, a piece of omentum that matches the size of the opening of the gallbladder stump is resected from the greater omentum and plugged into the gallbladder stump. Results: A total of 486 patients were operated, of which 36 patients (7.4%) underwent subtotal cholecystectomy because it was not possible to close their cystic ducts because they had difficult gallbladders, of which 18 patients in taken in OPT and 18 patients taken in PCT group. Average age in OPT group was 49.48 ± 9.59 years while in PCT group was 54.47 ± 16.21. In OPT group there were 10 (62.5%) male and 6 (37.5%) female, in PCT group 11 (68.75%) male and 5 (31.25%) female were observed. History of CBD Stone was recorded in 3 (18.75%) and 2 (12.50%) patients in OPT and PCT group respectively. No History of Abdominal Surgery was noted in both the group. Intra-operative Haemorrhage in OPT Group was 118 (16-359) ml while in PCT group was 164 (10-578) ml. Duration of Operation Time OPT Group was 156 ± 15.77 ml while in PCT group it was 105 ± 17.35 minutes. Total post-operative complications and post-operative bile leakage were seen in 2 patients in OPT group while in PCT group it was seen in 10 patients. (P= 0.0040). Post-operative intervention was done on one patient in OPT group and on 9 patients in PCT group. Mean Duration of drain was 3.5 ± 1.24 days in OPT group and 8.59 ± 2.46 days in PCT group (P< 0.0001). Post-operative hospital stay was 8.84 ± 2.14days in OPT group and 13.45 ± 2.11days (P< 0.0001). Conclusion: In a difficult gall bladder SC is required during cholecystectomy and for prevention of postoperative bile leakage OPT technique can be safe and more feasible alternative than conventional procedures. Keywords: Subtotal cholecystectomy (SC), Omentum Plugging Technique (OPT), Primary Closure Technique (PCT), gall bladder.

Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement in patients with acute cholecystitis at moderate to high surgical risk (with videos)

2020 ◽  
Vol 92 (3) ◽  
pp. 634-644 ◽  
Author(s):  
Wiriyaporn Ridtitid ◽  
Panida Piyachaturawat ◽  
Nicha Teeratorn ◽  
Phonthep Angsuwatcharakon ◽  
Pradermchai Kongkam ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Stent Placement ◽  
Surgical Risk ◽  
Peroral Cholangioscopy ◽  
High Surgical Risk ◽  
Single Operator ◽  
Gallbladder Stent

scholarly journals Compression of cystic duct caused by focal nodular hyperplasia

2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Andreea Bente ◽  
Moussa Ouedraogo ◽  
Kinjal N Kasbawala ◽  
Kristen M Glasgow
Keyword(s):  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Focal Nodular Hyperplasia ◽  
Surgical Procedure ◽  
Clinical Presentation ◽  
Biliary Colic ◽  
Liver Mass ◽  
Nodular Hyperplasia

Abstract A 29-year-old female presenting with symptoms of biliary colic was found to have a liver mass compressing the cystic duct. Due to the anatomical placement of the growth, the compressed duct produced symptoms mimicking acute cholecystitis. The mass was diagnosed as focal nodular hyperplasia (FNH) upon biopsy. FNH is commonly found incidentally with nonhepatic clinical presentation or during an unrelated surgical procedure. The scope of this paper is to bring awareness to uncommon causes of biliary colic. To our knowledge, there has been one other paper published with FNH being the primary cause of biliary colic.

Evaluation of cystic duct patency: comparison of functional MR cholangiography with gadoxetate disodium and hepatobiliary scintigraphy in suspected acute cholecystitis

2016 ◽  
Vol 40 (5) ◽  
pp. 973-978 ◽  
Author(s):  
Michael T. Corwin ◽  
Stephen Malutich ◽  
Edgardo S. Salcedo ◽  
Ghaneh Fananapazir ◽  
John M. Brock ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Hepatobiliary Scintigraphy ◽  
Gadoxetate Disodium ◽  
Mr Cholangiography
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