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      1 2 3 › 3

      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.

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