Abstract
VOLUME 56, NO. 5, 2002 GASTROINTESTINAL ENDOSCOPY 753 Current affiliations: Department of Medicine, Division of Gastroenterology and Hepatology, Department of Surgery, Division of Gastroenterologic and General Surgery, and Department of Radiology, Division of Interventional Radiology, Mayo Medical Center, Rochester, Minnesota. Reprint requests: Todd H. Baron, MD, FACP, 13400 E. Shea Blvd., Scottsdale, AZ 85259. Copyright © 2002 by the American Society for Gastrointestinal Endoscopy 0016-5107/2002/$35.00 + 0 37/4/129217 doi:10.1067/mge.2002.129217 noted. A 10F stent was placed across the stricture into the intrahepatic biliary system, after which the jaundice resolved. Abdominal CT was normal. The patient remained well for 4 weeks but then presented with recurrent right upper quadrant pain, fever, and leukocytosis with normal biochemical parameters of liver function, and he was referred to our institution. Abdominal CT revealed new, marked bowel wall thickening of the proximal and mid portions of the duodenum, as well as thickening of gastric antrum and pylorus. Extensive stranding was seen in the mesenteric fat around the proximal duodenum and gallbladder fossa; the gallbladder wall was thickened with a new adjacent fluid collection. There was a suggestion of a small connection between the gallbladder and duodenal lumen. Radiographic study of the upper GI tract with water-soluble contrast revealed an edematous duodenum without evidence of perforation or fistula. ERCP was repeated because of suspected gallbladder perforation. The previously placed biliary stent was Figure 1. Retrograde cholangiogram showing endoscopically placed biliary catheter in gallbladder (GB). Note markedly irregular contour of gallbladder with extravasation of contrast into fluid collection identified on CT. Endoscopic transpapillary gallbladder drainage for closure of calculous gallbladder perforation and cholecystoduodenal fistula
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
