Definition:

It is the radiographic study of gall bladder by

the oral administration contrast media .

ANATOMY
 It is pear shaped hollow viscus acts as reservoir
of bile situated on the inferior surface of the right
lobe of liver.
Measurement
 Length - 7-10cm
 Breadth -3 cm
 capacity – 30-50 ml
 Colour – state blue
Gall bladder
Indications:
 Inflammation of the organ
 Other abnormalities like polyps
 Tumors
 Gallstones
 The cystic duct and common bile duct may also be seen
 To demonstrate suspected pathology in the gall- bladder
Contraindications:
1. Severe hepatorenal disease
2. Acute cholecysititis
3. Iodine sensitivity
4. Pregnancy
5. Dehydration
6. An IV choledochogram within the previous
week previous cholecystectomy
Acute cholecysititis Iodine sensitivity

Pregnancy
Dehydration
Contrast medium:
 Biloptin
 Telepaque
 Cholebrin
 Solu-Biloptin
Patient preparation:
 Prone 20° LAO preliminary film is taken when
appointment is made.
 A laxative 2 days prior to the examination.
 A fat-containing evening meal on the evening prior to the
examination.
 The CM is taken with water 14 hours prior to the patient’s
appointment.
 Food is forbidden until the examination is
completed.
Films
1. Prone 20° LAO
2. Supine 20° RPO
3. Erect 20° LAO
4. Fatty meal provided.

Prone 20° LAO 30 minutes after a fatty

meal
 PROCEDURE
 6 tablet of teleopaque or solubiloptin orally night before the
examination.
 A prone oblique view with right side raised to 20 is taken
after 12-16 hours for GB visualization
 After the priliminary film, the patient usually lie in the
supine
position and appropriate spot film of the GB are taken
 Ask the patient to eat fatty meal
 After 30-40 min. films are taken to assess the contractibility
of the GB and small filling defect (stones r polpyps)
 Cystic and common bile duct also visualized in post fatty
meal films
 If the GB not visualized a “double dose” O C G may have to
be performed where the patient takes in all 12 tablets of CM ,
6 tablets being taken on each of the two nights prior the
examination.
Complications:
 Mild gastrointestinal disturbances
 Skin reactions
 Impaired renal function
 Pseudo albuminuria
 Abnormal thyroid function tests
 Increased effect of protein-bound drugs because
of shared binding with albumen
Oral Cystogram
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