RT Journal Article
SR Electronic
T1 Successful Percutaneous Ultrasonic Lithotripsy of Gallstones
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 84
OP 86
DO 10.31486/toj.23.0071
VO 24
IS 1
A1 Ostergar, Adam
A1 Alkazemi, Muhammad Hassan
A1 Hill, Hayden
A1 Awad, Michael M.
A1 Ushinsky, Alexander
A1 Darcy, Michael
A1 Desai, Alana C.
A1 Figenshau, Robert Sherburne
YR 2024
UL http://www.ochsnerjournal.org/content/24/1/84.abstract
AB Background: Acute calculous cholecystitis is the obstruction of the cystic duct by a gallstone that leads to inflammation of the gallbladder necessitating cholecystectomy.Case Series: We present the cases of 2 patients with acute calculous cholecystitis who were deemed ineligible candidates for cholecystectomy because of their complicating medical histories. Both patients initially underwent cholecystostomy and drain placement with interventional radiology for management of acute calculous cholecystitis. Their large gallstones remained refractory to attempts at removal by electrohydraulic lithotripsy via the cholecystostomy access. The patients’ gallstones were successfully removed via percutaneous ultrasonic lithotripsy during a collaborative procedure with interventional radiology and urology.Conclusion: An interdisciplinary approach using percutaneous cholecystolithotomy with rigid ultrasonic lithotripsy is an effective method for removing challenging gallstones in patients for whom traditional approaches fail.