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Management of gallbladder perforation by percutaneous cholecystostomy
Critical Care Medicine
|August 1, 1985
Insights
Percutaneous cholecystostomy offers a safe alternative to surgery for acute cholecystitis with perforation in high-risk elderly patients. This minimally invasive approach successfully treated a patient with severe cardiac and renal issues.
Area of Science:
- Medical procedures
- Gastroenterology
- Interventional radiology
Background:
- Acute cholecystitis with perforation is a severe condition often requiring surgical intervention.
- Elderly patients with comorbidities present significant challenges for traditional cholecystectomy due to high surgical risks.
Abstract:
Percutaneous cholecystostomy was employed successfully as an alternative to cholecystectomy for the treatment of acute cholecystitis with perforation in an elderly woman. The procedure, performed portably in the cardiac care unit, was selected because progressive cardiac and renal decompensation made the patient an extremely poor surgical risk.