Korean J Gastrointest Endosc.
2002 Jan;24(1):52-58.
Percutaneous Cholecystostomy and Percutaneous Abscess Drainage in Two Patients of Gallbladder Perforation with High Surgical Risk
- Affiliations
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- 1Department of Internal Medicine, Hanil Hospital, Seoul, Korea
- 2Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. lwj@ilsanpaik.ac.kr
- 3Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Gallbladder perforation is a grave complication of acute cholecystitis, which has a high incidence of morbidity and mortality in the elderly patients. The unfavorable nature of this disease is due in part to a delay in diagnosis because of the similarity in clinical presentation of patients with uncomplicated cholecystitis and those with perforation. Although prompt surgical intervention with cholecystectomy is the treatment of choice, morbidity and mortality rates rise markedly in the elderly patient with severe systemic illness. In acute cholecystitis, percutaneous cholecystostomy is a good alternative to surgical cholecystectomy or is a temporary measure until a patient is sufficiently stable for surgery. In this report, we describe our experience of successful use of percutaneous cholecystostomy and intra- abdominal percutaneous catheter drainage for the therapy of gallbladder perforation in two patients with high surgical risk.
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