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Gallbladder in the Wrong Neighbourhood: Tackling Para-Urostomal Herniated Cholecystitis With Open Cholecystostomy
Supun M Bakmiwewa1,2, Ashish Vaska1, Marwan Idrees1
1Department of Upper Gastrointestinal Surgery, Liverpool Hospital, Sydney, AUS.
Abstract:
Acute cholecystitis is usually managed with a cholecystectomy. Percutaneous cholecystostomy serves as a viable alternative when cholecystectomy is not appropriate. While parastomal hernias are a frequent complication of stomas, we present an unusual case of an elderly man with acute cholecystitis developing within a para-urostomal hernia. Given his significant comorbidities and personal preference, an open/surgical cholecystostomy under local anaesthesia was successfully performed, demonstrating a tailored approach to the management of a complex clinical scenario.
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