Endoscopic transcystic stent placement for an intrahepatic abscess due to gallbladder perforation

Figure 1 A: CT scan found an hepatic abscess in the right lobe adjacent to the gallbladder; B: Two weeks after the percutaneous drainage, the size of the hepatic abscess did not decrease much; C: Ten days after the insertion of a 7-Fr 10-cm-long double pigtail biliary stent, the size of the abscess pocket decreased markedly.

Figure 2 Percutaneous transhepatic cholangiography reveals a cholecystohepatic fistula (white arrow) between liver abscess (black arrow) and gallbladder with a large stone.

Figure 3 A 7-Fr 10-cm-long double pigtail biliary stent was placed into the gallbladder.