Cystic duct disimpaction for acute cholecystitis in the high-risk cholecystectomy patient: Case report.
Humzah IqbalAalam SohalKanana AburayyanBandhul HansJuliana YangPublished in: SAGE open medical case reports (2024)
Acute cholecystitis is a common cause of Emergency Department presentation and hospital admission. It is usually treated with early surgical removal of the gallbladder; however, some patients may not be fit to undergo the procedure due to critical illness or comorbidities. In these patients, options are limited. Endoscopic retrograde cholangiopancreatography interventions in this population are not well-studied. We present a case of a high-risk 59 year old female patient with a history of end-stage renal disease, heart failure, hypertension, pulmonary hypertension, and type 2 diabetes who presented with acute cholecystitis. She was successfully treated with cystic duct disimpaction without stenting, and continues to do well post-procedure with complete resolution of symptoms and abnormal lab findings.
Keyphrases
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- case report
- emergency department
- type diabetes
- heart failure
- liver failure
- newly diagnosed
- blood pressure
- healthcare
- respiratory failure
- cardiovascular disease
- prognostic factors
- drug induced
- intensive care unit
- physical activity
- insulin resistance
- aortic dissection
- patient reported outcomes
- coronary artery
- single molecule
- pulmonary arterial hypertension
- ultrasound guided
- coronary artery disease
- hepatitis b virus
- solid state
- glycemic control