Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy
Laparoscopic cholecystectomy (LC) is the treatment modality of choice for symptomatic cholelithiasis and cholecystitis during pregnancy and is associated with shorter length of stay, shorter operative times, and fewer complications compared to open cholecystectomy. However, in high-risk pregnant pat...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-02-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/522060 |
| _version_ | 1818534886758154240 |
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| author | Yvonne Hojberg Keshav Patel Saad Shebrain |
| author_facet | Yvonne Hojberg Keshav Patel Saad Shebrain |
| author_sort | Yvonne Hojberg |
| collection | DOAJ |
| description | Laparoscopic cholecystectomy (LC) is the treatment modality of choice for symptomatic cholelithiasis and cholecystitis during pregnancy and is associated with shorter length of stay, shorter operative times, and fewer complications compared to open cholecystectomy. However, in high-risk pregnant patients, LC can be challenging. Percutaneous cholecystostomy tube (PCT) offers a temporary management option during the peripartum period until interval LC is performed. We present a case of a high-risk pregnancy involving a 41-year-old woman at the 34th week of gestation with a dichorionic-diamniotic-twin gestation with signs and symptoms of acute cholecystitis. Given the patient’s high-risk status, a less intensive intervention, PCT, was performed for gallbladder decompression. An interval LC was performed on postpartum day 4 after caesarean section. Current surgical guidelines suggest that laparoscopy can be safely used to treat biliary disease during pregnancy in all trimesters. Although rarely used as a first-line intervention for gallbladder disease, PCT is an important minimally invasive procedure for treatment of cholecystitis in patients who are poor surgical candidates. Our case is unique due to the twin gestation, advanced maternal age, and gestational age. |
| first_indexed | 2024-12-11T18:17:27Z |
| format | Article |
| id | doaj.art-c6dc69e3a03b4809905fb7d5ba5be172 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-11T18:17:27Z |
| publishDate | 2022-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-c6dc69e3a03b4809905fb7d5ba5be1722022-12-22T00:55:23ZengKarger PublishersCase Reports in Gastroenterology1662-06312022-02-01161495410.1159/000522060522060Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk PregnancyYvonne Hojberg0Keshav Patel1Saad Shebrain2Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USADepartment of Internal Medicine, University of Illinois College of Medicine, Chicago, IL, USADepartment of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USALaparoscopic cholecystectomy (LC) is the treatment modality of choice for symptomatic cholelithiasis and cholecystitis during pregnancy and is associated with shorter length of stay, shorter operative times, and fewer complications compared to open cholecystectomy. However, in high-risk pregnant patients, LC can be challenging. Percutaneous cholecystostomy tube (PCT) offers a temporary management option during the peripartum period until interval LC is performed. We present a case of a high-risk pregnancy involving a 41-year-old woman at the 34th week of gestation with a dichorionic-diamniotic-twin gestation with signs and symptoms of acute cholecystitis. Given the patient’s high-risk status, a less intensive intervention, PCT, was performed for gallbladder decompression. An interval LC was performed on postpartum day 4 after caesarean section. Current surgical guidelines suggest that laparoscopy can be safely used to treat biliary disease during pregnancy in all trimesters. Although rarely used as a first-line intervention for gallbladder disease, PCT is an important minimally invasive procedure for treatment of cholecystitis in patients who are poor surgical candidates. Our case is unique due to the twin gestation, advanced maternal age, and gestational age.https://www.karger.com/Article/FullText/522060percutaneous cholecystostomycholecystitishigh-risk pregnancymultiple gestationslaparoscopic cholecystectomy |
| spellingShingle | Yvonne Hojberg Keshav Patel Saad Shebrain Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy Case Reports in Gastroenterology percutaneous cholecystostomy cholecystitis high-risk pregnancy multiple gestations laparoscopic cholecystectomy |
| title | Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy |
| title_full | Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy |
| title_fullStr | Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy |
| title_full_unstemmed | Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy |
| title_short | Utilizing Percutaneous Cholecystostomy Tube as a Temporary Minimally Invasive Approach for Acute Cholecystitis during Third Trimester of a High-Risk Pregnancy |
| title_sort | utilizing percutaneous cholecystostomy tube as a temporary minimally invasive approach for acute cholecystitis during third trimester of a high risk pregnancy |
| topic | percutaneous cholecystostomy cholecystitis high-risk pregnancy multiple gestations laparoscopic cholecystectomy |
| url | https://www.karger.com/Article/FullText/522060 |
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