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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Main Authors: Gabrielė Gudelytė, Audrius Sileikis
Format: Article
Language:English
Published: Vilnius University Press 2024-12-01
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
description 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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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