[Treatment of acute cholecystitis in a third-trimester pregnant women].
This case report describes a 35-year-old female with acute cholecystitis 36 weeks into her pregnancy. Laparoscopic cholecystectomy was assessed not to be possible. An ultrasonic guided percutaneous transhepatic gall bladder drainage was performed resulting in immediate pain relief. The patient was discharged two days later, and the drain sat in place until a caesarian section was per--formed. A post-surgery cholangiography demonstrated stones in the gall bladder but no stones in the common bile duct. An uneventful laparoscopic cholecystectomy was carried out three months after surgery. The case report demonstrates that percutaneous transhepatic gall bladder drainage is a safe procedure to be considered in women with cholecystitis in which cholecystectomy is not possible or assumed to be associated with an unacceptable high risk.
nielsenm@post7.tele.dk.
Asger
A
Eller
Susy
S
Shim
Louise
L
Sigvardt
Peter
P
Rask
Michael Festersen
MF
Nielsen
D000328:Adult; D041881:Cholecystitis, Acute / Q000601:surgery*; D002767:Cholecystostomy / Q000379:methods*; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D011263:Pregnancy Trimester, Third; D018084:Ultrasonography, Interventional / Q000379:methods*