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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 6/2013

01-12-2013 | Case Report

Cholecystokinin-Assisted Hydrodissection of the Gallbladder Fossa during FDG PET/CT-guided Liver Ablation

Authors: Sanjit O. Tewari, Elena N. Petre, Joseph Osborne, Constantinos T. Sofocleous

Published in: CardioVascular and Interventional Radiology | Issue 6/2013

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Abstract

A 68-year-old female with colorectal cancer developed a metachronous isolated fluorodeoxyglucose-avid (FDG-avid) segment 5/6 gallbladder fossa hepatic lesion and was referred for percutaneous ablation. Pre-procedure computed tomography (CT) images demonstrated a distended gallbladder abutting the segment 5/6 hepatic metastasis. In order to perform ablation with clear margins and avoid direct puncture and aspiration of the gallbladder, cholecystokinin was administered intravenously to stimulate gallbladder contraction before hydrodissection. Subsequently, the lesion was ablated successfully with sufficient margins, of greater than 1.0 cm, using microwave with ultrasound and FDG PET/CT guidance. The patient tolerated the procedure very well and was discharged home the next day.
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Metadata
Title
Cholecystokinin-Assisted Hydrodissection of the Gallbladder Fossa during FDG PET/CT-guided Liver Ablation
Authors
Sanjit O. Tewari
Elena N. Petre
Joseph Osborne
Constantinos T. Sofocleous
Publication date
01-12-2013
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-013-0692-1

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