Four (1.2%) out of 321 @entity1 required percutaneous transhepatic gallbladder drainage (PTGBD) following cardiovascular surgery. @entity2679 was initially suspected based upon the occurrence of @entity86 and the results of abdominal X-ray films. The main physical finding was tenderness of the right upper quadrant abdomen in all @entity1 . @entity158 and Blumberg's sign were not apparent. Distension of the gallbladder and sludge in the gall-bladder were detected in all four @entity1 by ultrasonography, but calculi were not observed. Thickening and @entity4 of the gallbladder wall, generally suggestive of @entity2679 , were observed in only one @entity1 . PTGBD was performed from 5 to 43 (mean 16) days after surgery. The drained fluid was concentrated bile and not purulent. High fever dropped and serum transaminase and @entity1851 levels decreased within three days after PTGBD. Bacteriologic examinations of the bile and arterial blood were negative in all cases. No complications as a result of PTGBD introduction occurred. PTGBD is a safe and effective procedure, and therefore should be actively performed even in the early phase of acute @entity2679 .

Percutaneous transhepatic gallbladder drainage for acute acalculous XXXX following cardiovascular surgery.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity2679 :: ('MESH:D002764', 'Disease') :: ['cholecystitis', 'Cholecystitis'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative fever'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Spontaneous pain'] @entity1851 :: ('1401', 'Gene') :: ['C-reactive protein']
@entity2679 :: (MESH:D002764,Disease) :: ['cholecystitis']
