Kumar Sheo, Sharma Pankaj, Muthu Ramesh, Mohakund Sudipta
Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Indian J Radiol Imaging. 2011 Oct;21(4):298-300. doi: 10.4103/0971-3026.90695.
Empyema of the gallbladder develops when the gallbladder neck is obstructed in the presence of infection, preventing pus from draining via the cystic duct. Treatment options include cholecystectomy or, in patients with comorbidities, drainage via percutaneous cholecystostomy, later followed by cholecystectomy. Here, we describe a 59-year-old man who presented with complaints of recurrent hiccups and was found to have cholangiocarcinoma causing obstruction to cystic duct drainage. The patient was managed successfully by percutaneous transhepatic cholecysto-duodenal self-expandable covered metal stent.
当胆囊颈部在感染存在的情况下发生梗阻，导致脓液无法通过胆囊管引流时，就会发生胆囊积脓。治疗选择包括胆囊切除术，或者对于有合并症的患者，通过经皮胆囊造瘘术进行引流，随后再进行胆囊切除术。在此，我们描述一名59岁男性，他因反复呃逆就诊，被发现患有胆管癌导致胆囊管引流梗阻。该患者通过经皮经肝胆囊 - 十二指肠自膨式覆膜金属支架成功治疗。
