Ultrasound-guided percutaneous transhepatic cholecystostomy for acute XXXX .

@entity1 @entity1085 @entity201 @entity7140
Ultrasound-guided percutaneous transhepatic cholecystostomy was performed in six critically ill @entity1 who had acute @entity7140 . The clinical conditions of all six @entity1 improved dramatically following transhepatic cholecystostomy. No complications of this bedside procedure occurred. Cholangiography via the inserted pigtail catheter was normal in four @entity1 . Their catheters were removed after ten to 21 days. At follow-up examinations at four to 30 months they were free of signs of @entity1085 . In one @entity1 , ultrasonography showed desquamation of the mucosa in the gallbladder, which led to the decision to perform cholecystectomy two days after cholecystostomy. One @entity1 , suffering from @entity201 , died 120 days after cholecystostomy with the catheter in situ. In our experience, ultrasound-guided percutaneous transhepatic cholecystostomy is the treatment of choice to overcome a critical period in @entity1 with acute @entity7140 . When post-drainage cholangiography is normal, cholecystectomy at a later stage is not indicated in the majority of these @entity1 .
