Cholangiography via cholecystostomy in the follow-up assessment of acute cholecystitis

Abstract

A 90-year-old multipathological female patient presented at the emergency department with right hypochondrial abdominal pain. Physical examination revealed a positive Murphy’s sign. Analytically, leukocytosis was evident with a normal hepatic profile. Abdominal CT scan confirmed acute cholecystitis. The decision was made to perform a cholecystostomy. Due to the lack of improvement in the patient’s condition, a trans-cholecystostomy cholangiography was performed, which revealed choledocholithiasis with complete occupation of the extrahepatic biliary tract (Figure 1).