1. Percutaneous Cholecystostomy – A Safe Option in the Management of Acute Biliary Sepsis in the Elderly 
J.M. Howard, A.M. Hanly, M. Keogan, M. Ryan, J.V. Reynolds 
International Journal of Surgery 
Volume 7, Issue 2, Pages (January 2009)
DOI: /j.ijsu
Copyright © 2009 Surgical Associates Ltd Terms and Conditions

2. Fig. 1
Case 1: CT scan demonstrating a very large distended gallbladder (14cm), with an ill-defined gallbladder wall and fluid seen in a pericholecystic distribution. The CBD is dilated at 1.6cm and a filling defect noted at the distal CBD.
International Journal of Surgery 2009 7, 94-99DOI: ( /j.ijsu )
Copyright © 2009 Surgical Associates Ltd Terms and Conditions

3. Fig. 2
Case 2: CT scan demonstrating a grossly distended gallbladder with a thick enhancing wall and evidence of acute cholecystitis without gallstones. Dilated caecum and proximal colon without evidence of an obstructing lesion.
International Journal of Surgery 2009 7, 94-99DOI: ( /j.ijsu )
Copyright © 2009 Surgical Associates Ltd Terms and Conditions

4. Fig. 3
Case 3: CT scan showing an enlarged gallbladder (15×5cm) causing distortion of surrounding structures and likely associated Mirizzi's syndrome. Dilated cystic and intrahepatic ducts with multiple gallstones noted within the gallbladder.
International Journal of Surgery 2009 7, 94-99DOI: ( /j.ijsu )
Copyright © 2009 Surgical Associates Ltd Terms and Conditions

5. Fig. 4
Case 3: A cholecystostomy tubogram demonstrating a number of filling defects within the gallbladder consistent with gallbladder calculi. The common duct is dilated and contains a large filling defect within its distal aspect.
International Journal of Surgery 2009 7, 94-99DOI: ( /j.ijsu )
Copyright © 2009 Surgical Associates Ltd Terms and Conditions