RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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Kappikeri VS *, Devani RG **
*Professor, Department of Surgery, M.R. Medical College, Kalaburagi, ** Professor, Department of Surgery, KBNIMS, Kalaburagi
Corresponding author:
Dr. Vijaykumar Kappikeri, Professor of Surgery Basaveshwara Hospital, Sedum Road. Kalaburagi 585 105 vijaykapps@yahoo.co.in
Abstract
Acute cholecystitis is one of the most common surgical emergencies with mortality risk related to age of the patient. Cholecystostomy has been used as a bridging technique till resolution of sepsis. Cholecystostomy is an alternative treatment for acute cholecystitis with high surgical risk and has lower morbidity and mortality than emergency Cholecystectomy. ERCP is procedure of choice for common bile duct (CBD) stone extraction but in large and impacted stone with obstructive jaundice, open CBD exploration is done. A60-year old female presented with pain abdomen, vomiting and fever with progressive jaundice. Ultrasonography (USG) abdomen showed distended gall bladder with biliary sludge and thickened Gall Bladder wall and dilated CBD with stone measuring 16x10 mm in distal part of CBD. ERCPwas attempted twice but failed to extract stone. Cholecystostomy with CBD exploration and extraction of CBD stone was done with T tube drain in situ. Patient recovered post operatively with removal of Cholecystostomy and T tube drains after 2 weeks and 3 weeks respectively.
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