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Percutaneous gall bladder aspiration as an alternative to laparoscopic cholecystectomy in Child-Pugh C cirrhotic patients with acute cholecystitis

Department of Human Pathology, University of Messina, Messina, Italy

Correspondence to:
Correspondence to:
Dr G Currò
Strada Panoramica, 30/A, 98168 Messina, Italy; jose.c@tiscali.it

Keywords: acute cholecystitis; cirrhotic patients; laparoscopic cholecystectomy; percutaneous gall bladder aspiration

The first 150 words of the full text of this article appear below.

Cholelithiasis is a common disease in patients with cirrhosis due to intravascular haemolysis and functional alterations of the gall bladder.¹ Acute cholecystitis (AC) results from obstruction of the cystic duct, usually by a gall stone, followed by distension and subsequent chemical or bacterial inflammation of the gall bladder. Approximately 95% of people with AC have gall stones (calcolous cholecystitis) and 5% lack gall stones (acalcolous cholecystitis). Severe AC may lead to necrosis of the gall bladder wall and to perforation, more commonly in patients with chronic diseases such as diabetes mellitus, renal failure, or cirrhosis.² Early cholecystectomy is the standard treatment for AC in the general population and laparoscopic cholecystectomy (LC) is generally a safe and effective procedure even in cases of acute inflammation of the gall bladder.^3,4 Although there is increasing evidence that patients with early cirrhosis may undergo LC with low morbidity and no mortality even when presenting . . . [Full text of this article]