Diagnostic and therapeutic interventional gallbladder procedures

Ultrasound-Guided Fine Needle Aspiration Cytology of Malignant Gallbladder Masses

“…Other complications reported with gallbladder puncture, including severe vasovagal reactions, hypotension, bacteremia and hemobilia, were not observed in this study. 13,14 Our present study clearly showed that positive findings in gallbladder aspirates, provided that they are adequate for cytologic analysis, strongly support the diagnosis of a malignant lesion, obviating the need for laparotomy in advanced cases and in patients who are poor surgical risks. However, a negative result should be interpreted with caution when clinical suspicion is high, and repeat USguided FNAC should be carried out to establish the conclusive diagnosis.…”

Cytopathologic Diagnosis of Xanthogranulomatous Cholecystitis and Coexistent Lesions

“…Other complications reported with gallbladder puncture, including hemorrhage in the tract, vasovagal reactions, hypotension, bacteremia and hemobilia, were not observed in this study. 5,26 In conclusion, preoperative US-guided FNAC is safe, rapid, reliable, cost-effective and accurate in diagnosing XGC. However, the possibility of coexistent carcinoma cannot be ruled out definitively.…”

“…4 Application of ultrasound (US)-guided fine needle aspiration cytology (FNAC) for evaluation of gallbladder mass lesions has been limited to malignancy. [5][6][7][8] Interventional radiologists have been reluctant to perform percutaneous FNAC of the gallbladder for fear of causing biliary peritonitis. However, reports have demonstrated the safety of US-guided percutaneous FNAC of the gallbladder for a variety of diagnostic and therapeutic procedures.…”

Ultrasonically-Guided Fine-Needle Biopsy of Gastrointestinal Organs: Indications, Results and Complications

“…A positive bile culture is consis tent with the diagnosis of acute cholecystitis: however, negative Gram stain and cultures do not exclude cholecystitis [63].…”

“…64], Transcholecvstic cholangiography is a safe, rapid and effec tive method to visualize nondilated bile ducts in patients with suspected biliary disease [63][64][65]: in these cases, the procedure represents an alternative to transhepatic cholangiogaphy. Technically US-guided puncture of the gall bladder is performed preferably through a transhepatic approach but also the transperitoneal pathway is an alternative [64],…”