HYPOTHESIS Tube cholecystostomy followed by interval laparoscopic cholecystectomy is a sale and efficacious treatment option in critically ill patients with acute cholecystitis. DESIGN Retrospective cohort study within a 4 1/2%-year period. SETTING University hospital. PATIENTS Of 324 patients who underwent laparoscopic cholecystectomy, 65 (20%) had acute cholecystitis; 15 of these 65 pat...

BACKGROUND AND OBJECTIVES Percutaneous cholecystostomy is currently indicated for patients with cholecystitis who might be poor candidates for operative cholecystectomy. We performed a study to evaluate the long-term outcome of patients undergoing emergent tube cholecystostomy. METHODS This study was a retrospective chart review of patients who underwent tube cholecystostomy from July 1, 2005...

BACKGROUND Acute cholecystitis is a common diagnosis. However, the heterogeneity of presentation makes it difficult to standardize management. Although surgery is the mainstay of treatment, critically ill patients have been managed via percutaneous cholecystostomy. However, the role of percutaneous cholecystostomy in the management of such patients has not been clearly established. This systema...

A 44-year-old homeless male presented to the emergency department with a 6-hour history of pleuritic chest pain, shortness of breath, and generalized weakness. He had an episode of acute cholecystitis 2 years prior, for which he received a cholecystostomy tube and intravenous antibiotics at another hospital. He had been scheduled in clinic for tube removal and elective cholecystectomy, but he h...

introduction percutaneous nephrolithotomy is generally considered a safe option for the management of large complex or infectious upper urinary tract calculi. biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality, especially in cases where biliary peritonitis develops. all reported cases of biliary tract injury have b...

Spontaneous gallbladder perforation (SGP) is a rare but fatal complication usually associated with acute calculus cholecystitis. Mostly seen in adult patient and rarely reported in children. We report a rare case of aculcoulus gallbladder perforation in a 15 years old child post kidney transplant managed by percutaneous cholecystostomy tube drainage.

INTRODUCTION Percutaneous nephrolithotomy is generally considered a safe option for the management of large complex or infectious upper urinary tract calculi. Biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality, especially in cases where biliary peritonitis develops. All reported cases of biliary tract injury have b...