RT Journal
A1 Werbel GB, Nahrwold DL, Joehl RJ, Vogelzang RL, Rege RV
T1 PErcutaneous cholecystostomy in the diagnosis and treatment of acute cholecystitis in the high-risk patient
JF Archives of Surgery
JO Archives of Surgery
YR 1989
FD July 1
VO 124
IS 7
SP 782
OP 786
DO 10.1001/archsurg.1989.01410070032007
UL http://dx.doi.org/10.1001/archsurg.1989.01410070032007
AB • 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)