The patient was considered to unstable for a surgical intervention and an emergency percutaneous CT-guided cholecystostomy was done, in spite of a very low platelet count (7 000/[mm.
Percutaneous cholecystostomy (PC) was described as a minimally invasive, image-guided procedure and has become an alternative treatment strategy for high-risk patients with acute calculous or acalculous cholecystitis who are unfit for urgent surgery (1,5).
Percutaneous cholecystostomy could be also used as a method of exclusion of the gallbladder/biliary tree as a source of sepsis in unstable severely ill patients.
Acute cholecystitis in high-risk patients: percutaneous cholecystostomy vs conservative treatment.
Predicting Infected Bile among patients undergoing percutaneous cholecystostomy.
Percutaneous cholecystostomy for acute cholecystitis in high-risk patients: experience of a surgeon-initiated interventional program.