Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery
Background. Acute cholecystitis is one of the most frequent urgent diseases in elderly patients. Usually, the management of acute cholecystitis is through laparoscopic surgery, however, for critically ill patients it might be a dangerous invasive procedure. Therefore, percutaneous cholecystostomy i...
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| Format: | Article |
| Language: | English |
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Vilnius University Press
2024-12-01
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| Series: | Lietuvos Chirurgija |
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| Online Access: | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35958 |
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| author | Gabrielė Gudelytė Audrius Sileikis |
| author_facet | Gabrielė Gudelytė Audrius Sileikis |
| author_sort | Gabrielė Gudelytė |
| collection | DOAJ |
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Background. Acute cholecystitis is one of the most frequent urgent diseases in elderly patients. Usually, the management of acute cholecystitis is through laparoscopic surgery, however, for critically ill patients it might be a dangerous invasive procedure. Therefore, percutaneous cholecystostomy is used. Hence, wordwise the role of percutaneous cholecystostomy for acute cholecystitis is controversial. Case presentation. We report the case of a 78-year-old man who was diagnosed with acute calculous cholecystitis. The patient was admitted in poor condition and over 3 days it became worse. Due to the patient’s high comorbidity index a percutaneous cholecystostomy was performed. In the postoperative course, it is complicated with subcapsular hematoma and tube dislocation. Four months later, laparoscopic cholecystectomy was performed. The postoperative period was uneventful and outcomes were excellent.Conclusion. In conclusion, percutaneous cholecystostomy can be successful and a valuable option in the short-term treatment of critically ill patients. Although, we believe that these patient’s management decision is based on the surgeon’s clinical judgment and should be individual.
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| format | Article |
| id | doaj-art-c3ba1c748ee14bf086b8170bca62bfd4 |
| institution | Kabale University |
| issn | 1392-0995 1648-9942 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Lietuvos Chirurgija |
| spelling | doaj-art-c3ba1c748ee14bf086b8170bca62bfd42025-01-20T18:14:17ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422024-12-0123410.15388/LietChirur.2024.23(4).5Case Report: Percutaneous Cholecystostomy as the Beginning of RecoveryGabrielė Gudelytė0Audrius Sileikis1Vilnius UniversityVilnius University Background. Acute cholecystitis is one of the most frequent urgent diseases in elderly patients. Usually, the management of acute cholecystitis is through laparoscopic surgery, however, for critically ill patients it might be a dangerous invasive procedure. Therefore, percutaneous cholecystostomy is used. Hence, wordwise the role of percutaneous cholecystostomy for acute cholecystitis is controversial. Case presentation. We report the case of a 78-year-old man who was diagnosed with acute calculous cholecystitis. The patient was admitted in poor condition and over 3 days it became worse. Due to the patient’s high comorbidity index a percutaneous cholecystostomy was performed. In the postoperative course, it is complicated with subcapsular hematoma and tube dislocation. Four months later, laparoscopic cholecystectomy was performed. The postoperative period was uneventful and outcomes were excellent.Conclusion. In conclusion, percutaneous cholecystostomy can be successful and a valuable option in the short-term treatment of critically ill patients. Although, we believe that these patient’s management decision is based on the surgeon’s clinical judgment and should be individual. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35958percutaneous cholecystostomycholecystectomy acute cholecystitis |
| spellingShingle | Gabrielė Gudelytė Audrius Sileikis Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery Lietuvos Chirurgija percutaneous cholecystostomy cholecystectomy acute cholecystitis |
| title | Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery |
| title_full | Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery |
| title_fullStr | Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery |
| title_full_unstemmed | Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery |
| title_short | Case Report: Percutaneous Cholecystostomy as the Beginning of Recovery |
| title_sort | case report percutaneous cholecystostomy as the beginning of recovery |
| topic | percutaneous cholecystostomy cholecystectomy acute cholecystitis |
| url | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35958 |
| work_keys_str_mv | AT gabrielegudelyte casereportpercutaneouscholecystostomyasthebeginningofrecovery AT audriussileikis casereportpercutaneouscholecystostomyasthebeginningofrecovery |