Peritoneal bleeding due to percutaneous transhepatic gallbladder drainage:An autopsy report

A 77-year-old man underwent percutaneous transhepatic gallbladder drainage(PTGBD) for acute cholecystitis as a preoperative procedure;however,he suddenly suffered cardiopulmonary arrest 4 h after the PTGBD and died.There were three centesis scars for the PTGBD,and only one pathway from the most dors...

Full description

Saved in:
Bibliographic Details
Published inWorld journal of hepatology Vol. 4; no. 10; pp. 288 - 290
Main Authors Ihama, Yoko, Fukazawa, Maki, Ninomiya, Kenji, Nagai, Takumi, Fuke, Chiaki, Miyazaki, Tetsuji
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 27.10.2012
Subjects
Autopsy
Case Report
cholangio
complication
drainage
gallbladder
Lethal
Percutaneous
transhepatic
Lethal complication
Percutaneous transhepatic gallbladder drainage
Autopsy
Percutaneous transhepatic cholangio drainage
Online AccessGet full text

Cover

More Information
Summary:A 77-year-old man underwent percutaneous transhepatic gallbladder drainage(PTGBD) for acute cholecystitis as a preoperative procedure;however,he suddenly suffered cardiopulmonary arrest 4 h after the PTGBD and died.There were three centesis scars for the PTGBD,and only one pathway from the most dorsal centesis scar reached the gallbladder.Microscopically,the PTGBD pathway crossed and injured the intrahepatic arterial wall,and hepatic parenchymal bleeding extended along the PTGBD pathway to the inferior surface of the liver.Blood flowed to the peritoneal cavity through a small gap between the liver and gallbladder.Consequently,the PTGBD caused lethal bleeding.When the percutaneous transhepatic cholangio drainage/PTGBD pathway runs close to vessels near the liver surface,it might be necessary to deal with the possibility of rapid and lethal peritoneal bleeding.
Bibliography:Yoko Ihama,Maki Fukazawa,Kenji Ninomiya,Takumi Nagai,Chiaki Fuke,Tetsuji Miyazaki,Department of Forensic Medicine,Graduate School of Medicine,University of the Ryukyus,Okinawa 903-0215,Japan
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Author contributions: Ihama Y, Fukazawa M and Ninomiya K performed the macroscopic and microscopic examination; Nagai T, Fuke C and Miyazaki T gave clinical and general advices.
Telephone: +81-98-8951141 Fax: +81-98-8951413
Correspondence to: Yoko Ihama, MD, PhD, Department of Forensic Medicine, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan. makino@med.u-ryukyu.ac.jp
ISSN:1948-5182
1948-5182
DOI:10.4254/wjh.v4.i10.288