Fluoroscopic control of gallbladder drains
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- Take an initial anteroposterior image including the presumed locations of the gallbladder and common bile duct.
- Inject iodinated contrast, usually amounting to approximately 5g of iodine (or about 20 ml of concentration 240mg/ml, but can possibly be multiple times more), and note the following:
- Location of the tip of the drain in relation to the gallbladder
- Flow into the duodenum, or most distal part reached.
- Any visible dilatation of the gallbladder or biliary tract
- Any contrast outside the drain or biliary tract, including leakage along the outside of the drain.
- Any visible stones in the gallbladder or bile duct
If unable to inject any contrast
- Check if there are any kinks of the catheter, visually outside the skin, and/or by radiography inside. Internal kinks can possibly be overcome by switching patient position such as changing from lying down to standing.
If the drain is partially pulled out, it may be pushed into place, preferably with a hydrophilic guidewire.
- Drain location
- Most distal part reached by contrast.
Preferably note whether the images indicate an obstruction or open passage (to the duodenum).
- See also: General notes on reporting
- For a full list of contributors, see article Radlines:Authorship for details. . Creators of images are attributed at the image description pages, seen by clicking on the images. See
- Padilla, Rebekah M; Hulsberg, Paul C; Soule, Erik; Harmon, Taylor S; Eadie, Erik; Hood, Preston; Shabandi, Michael; Matteo, Jerry (2018). "Against the Odds: A Novel Technique to Perform Cholangiography from a Percutaneous Approach through the Cystic Duct ". Cureus. doi:10.7759/cureus.3577. ISSN 2168-8184.