J Korean Radiol Soc.  1987 Feb;23(1):48-53. 10.3348/jkrs.1987.23.1.48.

Ultrasonographic evaluation of the gallbladder after transcatheter arterial embolization

• Kim T
• Kim YJ
• Kang DS

• KMID: 2359654
• DOI: http://doi.org/10.3348/jkrs.1987.23.1.48

Abstract

Currently transcatheter arterial embolization(TAE) is widely used in Korea as a palliative treatment inpatients with inoperable heptocellular carcinoma. Embolization of cystic artery is frequently unavoidable in TAE but the effect on gallbladder, its significance and sonographic findings have not yet been fully as certained. We analyzed 29 cases of gallbladder in post TAE state by means of sonographic evaluation. The results were as follows. 1. Initial change was observed on the 1st day of TAE. 2. Maximum enlargement of the gallbladder occurred within 3 days. 3. Relief of pain was mostly noted in one week. 4. Ultrasonographic findings are: a) Enlargement ofthe gallbladder: 27 cases b) Sonolucent layer within the wall: 5 cases c) Thickening of the wall: 27 cases d)Sludge formation: 6 cases e) Pericholecystic anechoic area: 3 cases 5. No surgical intervention was necessary for complication of gallbladder, if ever: some medical treatment was sufficient. 6. Non-visualization of gallbladder was experienced, possibly due to atrophic changes. 7. Even in the case of cystic artery salvation, mild gallbladder changes were still observed. 8. No significant difference as sonographic findings was descernable inuse of various embolic materials

MeSH Terms

Arteries
Gallbladder*
Humans
Inpatients
Korea
Palliative Care
Ultrasonography