Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report
BackgroundPatients with multiple underlying diseases, older patients, or those with temporary contraindications to surgery should not undergo laparoscopic cholecystectomy for the time being. Instead, percutaneous transhepatic cholecystic puncture and drainage with tube placement is the preferred opt...
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Frontiers Media S.A.
2025-07-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1585967/full |
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| author | Liqiang Li Liqiang Li Yunfei Zhang Yunfei Zhang Zihan Zeng Zihan Zeng Liang Li Liang Li Jun Zhang Jun Zhang |
| author_facet | Liqiang Li Liqiang Li Yunfei Zhang Yunfei Zhang Zihan Zeng Zihan Zeng Liang Li Liang Li Jun Zhang Jun Zhang |
| author_sort | Liqiang Li |
| collection | DOAJ |
| description | BackgroundPatients with multiple underlying diseases, older patients, or those with temporary contraindications to surgery should not undergo laparoscopic cholecystectomy for the time being. Instead, percutaneous transhepatic cholecystic puncture and drainage with tube placement is the preferred option.Patient summaryA 55-year-old patient was admitted to the hospital due to “sudden upper abdominal pain and discomfort lasting for more than 1 day.” The issue began with epigastric pain and discomfort after consuming greasy food, leading to persistent bloating accompanied by nausea and vomiting of gastric contents. There were no chills or fever present. The patient initially sought treatment at the local county hospital, but symptomatic treatments there proved ineffective. Consequently, the patient and their family visited a local municipal tertiary hospital in an emergency. At the municipal hospital, it was recommended that the patient undergo a “laparoscopic cholecystectomy.” However, since the patient had undergone coronary stent implantation at the local county hospital on November 5, 2024, surgery was considered contraindicated. With acute severe cholecystitis symptoms worsening and pain relief efforts proving inadequate, the patient and family sought further treatment. After preoperative evaluations, the patient underwent a successful percutaneous transhepatic cholecystic puncture and drainage guided by color ultrasound. This procedure resulted in significant improvement in both abdominal pain and inflammatory markers.ConclusionFor patients undergoing surgical cardiac stent implantation, requiring prolonged anticoagulant therapy, and concurrently experiencing acute severe cholecystitis, percutaneous transhepatic gallbladder drainage (PTGD) is an effective treatment option. |
| format | Article |
| id | doaj-art-21a336ca31f74e2dbca43a5e28f0b7cf |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-21a336ca31f74e2dbca43a5e28f0b7cf2025-08-20T03:31:11ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.15859671585967Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case ReportLiqiang Li0Liqiang Li1Yunfei Zhang2Yunfei Zhang3Zihan Zeng4Zihan Zeng5Liang Li6Liang Li7Jun Zhang8Jun Zhang9Department of General Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, ChinaDepartment of General Surgery, Hefei Second People’s Hospital Affiliated to Bengbu Medical University, Bengbu, ChinaDepartment of General Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, ChinaDepartment of General Surgery, Hefei Second People’s Hospital Affiliated to Bengbu Medical University, Bengbu, ChinaDepartment of General Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, ChinaDepartment of General Surgery, Hefei Second People’s Hospital Affiliated to Bengbu Medical University, Bengbu, ChinaDepartment of General Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, ChinaDepartment of General Surgery, Hefei Second People’s Hospital Affiliated to Bengbu Medical University, Bengbu, ChinaDepartment of General Surgery, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, ChinaDepartment of General Surgery, Hefei Second People’s Hospital Affiliated to Bengbu Medical University, Bengbu, ChinaBackgroundPatients with multiple underlying diseases, older patients, or those with temporary contraindications to surgery should not undergo laparoscopic cholecystectomy for the time being. Instead, percutaneous transhepatic cholecystic puncture and drainage with tube placement is the preferred option.Patient summaryA 55-year-old patient was admitted to the hospital due to “sudden upper abdominal pain and discomfort lasting for more than 1 day.” The issue began with epigastric pain and discomfort after consuming greasy food, leading to persistent bloating accompanied by nausea and vomiting of gastric contents. There were no chills or fever present. The patient initially sought treatment at the local county hospital, but symptomatic treatments there proved ineffective. Consequently, the patient and their family visited a local municipal tertiary hospital in an emergency. At the municipal hospital, it was recommended that the patient undergo a “laparoscopic cholecystectomy.” However, since the patient had undergone coronary stent implantation at the local county hospital on November 5, 2024, surgery was considered contraindicated. With acute severe cholecystitis symptoms worsening and pain relief efforts proving inadequate, the patient and family sought further treatment. After preoperative evaluations, the patient underwent a successful percutaneous transhepatic cholecystic puncture and drainage guided by color ultrasound. This procedure resulted in significant improvement in both abdominal pain and inflammatory markers.ConclusionFor patients undergoing surgical cardiac stent implantation, requiring prolonged anticoagulant therapy, and concurrently experiencing acute severe cholecystitis, percutaneous transhepatic gallbladder drainage (PTGD) is an effective treatment option.https://www.frontiersin.org/articles/10.3389/fmed.2025.1585967/fullcontraindications to surgerycholecystocentesis and drainageultrasound guidanceacute severe cholecystitisgallbladder stones |
| spellingShingle | Liqiang Li Liqiang Li Yunfei Zhang Yunfei Zhang Zihan Zeng Zihan Zeng Liang Li Liang Li Jun Zhang Jun Zhang Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report Frontiers in Medicine contraindications to surgery cholecystocentesis and drainage ultrasound guidance acute severe cholecystitis gallbladder stones |
| title | Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report |
| title_full | Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report |
| title_fullStr | Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report |
| title_full_unstemmed | Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report |
| title_short | Ultrasound-guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis—a Case Report |
| title_sort | ultrasound guided percutaneous transhepatic cholecystic puncture and drainage for acute severe cholecystitis a case report |
| topic | contraindications to surgery cholecystocentesis and drainage ultrasound guidance acute severe cholecystitis gallbladder stones |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1585967/full |
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