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Acute cholecystitis with direct communication with liver abscess
3 Ultrasound 1 Clinical case E Gallbladder and Biliary tree F Liver acute cholecystitis, liver abscess, abscess drainage, transgastric cholecystostomy, percutaneous drainage
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Author: Daniele LISI Roma Italy
Very elderly patient (94 years old, female) admitted for abdominal pain and fever. Transabdominal ultrasound revealed acute cholecystitis with direct communication with a liver abscess. Real-time examination shows bidirectional flow of mucopus through the fistula (see video https://youtu.be/WnJC9ELmblA ). She was treated with transgastric cholecystostomy and percutaneous drainage of the liver abscess. She then survived the acute episode and after six months the drain was removed.
