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July 1989

Percutaneous Cholecystostomy in the Diagnosis and Treatment of Acute Cholecystitis in the High-Risk Patient

Author Affiliations

From the Departments of Surgery (Drs Werbel, Nahrwold, Joehl, and Rege) and Radiology (Dr Vogelzang), Northwestern University Medical School, and Surgical Service, Veterans Administration Lakeside Medical Center (Drs Werbel, Nahrwold, Joehl, Vogelzang, and Rege), Chicago, Ill.

Arch Surg. 1989;124(7):782-786. doi:10.1001/archsurg.1989.01410070032007

• We performed percutaneous cholecystostomy in 22 critically ill patients with suspected acute cholecystitis. This procedure accurately diagnosed acute cholecystitis in 17 of these 22 patients and excluded the diagnosis in the other 5 patients. Moreover, percutaneous cholecystostomy stabilized the conditions of 16 of the 17 patients with acute cholecystitis, allowing elective surgery in 8 patients and effectively treating 8 patients who never became surgical candidates. Percutaneous cholecystostomy and bile cultures are useful in the diagnosis and treatment of acute cholecystitis and should be performed in critically ill patients with clinical, laboratory, and radiologic evidence of acute cholecystitis and an excessive risk for cholecystectomy.

(Arch Surg. 1989;124:782-786)

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