Published in:
01-07-2008 | Case Report
Acute Cholecystitis Caused by Malignant Cystic Duct Obstruction: Treatment with Metallic Stent Placement
Authors:
Shiro Miyayama, Masashi Yamashiro, Taro Takeda, Hiroyuki Aburano, Tetsuya Komatsu, Taku Sanada, Shotaro Kosaka, Daisyu Toya, Osamu Matsui
Published in:
CardioVascular and Interventional Radiology
|
Special Issue 2/2008
Login to get access
Abstract
We report the successful management of acute cholecystitis using cystic duct stent placement in 3 patients with inoperable malignant cystic duct obstruction (2 cholangiocarcinoma and 1 pancreatic carcinoma). All patients underwent stent placement in the bile duct, using an uncovered stent in 2 and a covered stent in 1, to relieve jaundice occurring 8–184 days (mean 120 days) before the development of acute cholecystitis. The occluded cystic duct was traversed by a microcatheter and a stent was implanted 4–17 days (mean 12 days) after cholecystostomy. Acute cholecystitis was improved after the procedure in all patients. Two patients died 3 and 10 months later, while 1 has survived without cholecystitis for 22 months after the procedure to date.