Table 1.
A summary of the aetiologies, diagnostic imaging modalities, presentations, and management of CAP.
Aetiology | Diagnostic imaging modality | Complications | Management | ||||
---|---|---|---|---|---|---|---|
Cholecystitis | 41 (61.2%) | CT† | 46 (68.6%) | Haemobilia | 52 (77.6%) | Endovascular embolisation | 44 (65.7%) |
Cholecystectomy | 18 (26.8%) | DSA‡ | 13 (19.4%) | Haemobilia + Quinke's triad∗ | 11 (16.5%) | Percutaneous thrombin injection | 2 (3%) |
Idiopathic | 6 (8.9%) | US§ | 3 (4.4%) | Haemobilia with haematemesis or melena | 39 (58.3%) | ERCP¶ | 21 (31.3%) |
Cholelithiasis | 1 (1.5%) | MRI|| | 3 (4.4%) | Haemobilia with biliary obstruction | 22 (32.8%) | Cholecystectomy | 31 (46.3%) |
Pancreatitis | 1 (1.5%) | Direct biliary obstruction | 3 (4.5%) | Laparotomy, vessel ligation | 6 (9%) | ||
Contained rupture | 6 (8.9%) | ||||||
Rupture with haemoperitoneum | 9 (13.4%) | ||||||
Haemodynamic shock | 13 (19.4%) |
The number of patients in each category is presented, with a percentage in relation to the total of 67 reported cases of CAP in brackets. †Contrast-enhanced computed tomography. ‡Digital subtraction angiography. §Colour Doppler ultrasound. ||Magnetic resonance imaging. ¶Endoscopic retrograde cholangiopancreatography. ∗Haemobilia + haematemesis or melena + biliary obstruction.