Technical report: percutaneous cholecystostomy in acute acalculous cholecystitis.
Acute acalculous cholecystitis is a significant cause of morbidity and mortality in patients with other serious illnesses (Howard, 1981) and the mortality rate after surgical cholecystostomy may reach 15% (McGahan and Lindfors, 1989). Radiologically controlled percutaneous cholecystostomy is a safe, minimally invasive, procedure which may be curative (McGahan and Lindfors, 1989; Berger et al., 1989). Both cases described here were successfully treated by percutaneous cholecystostomy. A modified Seldinger technique was used in one and a direct 'trocar' puncture in the other. Percutaneous cholecystostomy, which is technically relatively straightforward, is now the treatment of choice for acute acalculous cholecystitis.
Taylor
S
S
Department of Radiology, McMaster University Medical Centre, Hamilton, Ontario, Canada.
Rawlinson
J
J
Malone
D E
DE
D000208:Acute Disease; D002764:Cholecystitis / Q000000981:diagnostic imaging / Q000601:surgery*; D002765:Cholecystography; D002767:Cholecystostomy / Q000379:methods*; D005704:Gallbladder / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography