Fluoroscopic control of gallbladder drains
Author:
Mikael Häggström [notes 1]
Procedure
- Take an initial anteroposterior image including the presumed locations of the gallbladder and common bile duct.
- Infuse 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
Drain malposition
If the drain is partially pulled out, it may be pushed into place, preferably with a hydrophilic guidewire.
Report
At least:
- 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
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.