Radiation Cholecystitis: A Diagnosis to Be Considered
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2019, Vol 3, Issue 1
Abstract
Radiation cholecystitis is an uncommon biliary complication after yttrium -90 radio-embolization. The incidence of radiation cholecystitis is almost 1 % after radio-embolization. The spectrum of this complication can range from biliary dyskinesia to acute cholecystitis. This complication is a result of non-targeted radioembolization of microspheres in the capillary network supplying the gall bladder wall via the cystic artery. Most studies and reviews state that this complication occurs because of penetration of regional hepatic tissue, however, this can be refuted given that the mean penetration of emitted Beta particles is 2.5mm with a maximum penetration of 10mm. A careful consideration of the hepatic anatomy and the positioning of the angiographic catheter during the mapping and dose delivery can significantly prevent the risk of radiation induced biliary complications.
Authors and Affiliations
Kaushik M*, Breeden J and Mittal V
Keywords
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- EP ID EP746951
- DOI 10.23880/ijsst-16000134
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