This article summarizes an overview of percutaneous cholecystostomy. I
ndications, including acute cholecystitis, gallbladder access for ston
e removal, drainage of common duct obstruction, and diagnostic cholang
iography, are outlined. The anatomy of the gallbladder and liver attac
hments and their importance and implications for cholecystostomy are o
utlined. The specific techniques for cholecystostomy, including imagin
g guidance, access techniques, catheter systems, complications, and te
chnical problems, are included in this article.