Gallbladder empyema

Discussion:

Gallbladder empyema is a clinical diagnosis supported by imaging investigations.  Imaging findings on all modalities are not definitive, but suggestive.

Typically the content of the gallbladder is echogenic in keeping with viscous content, with a stone at the gallbladder neck, causing obstruction.

The radiologist has a role in the very ill or patient with co-morbidities in performing drainage with a percutaneous cholecystostomy.   This is typically a transhepatic drainage to reduce the incidence of bilious peritonitis.

CT and MRI can aid assessment, particularly to assess for a gallbladder perforation.

    Create a new playlist
Loading...