Percutaneous cholecystostomy in patient at high risk. Treatment of acute acalculous cholecystitis.

ABSTRACT

Percutaneous cholecystostomy can be a useful technique for the ill, elderly, or high-risk patient, since he or she is spared open surgery. We used it successfully in a medically unstable woman with acute acalculous cholecystitis. Her drainage catheter, often the source of complications with the procedure, may have been removed too early A small asymptomatic subdiaphragmatic fluid collection and ileus developed. However, both resolved in 48 hours.