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Due to its rarity, hemobilia continues to be a diagnostic challenge in pediatric patients. He had hospitalized due to a normocytic normochromic anemia of hemoglobin 6. While no icterus was noted and his hemodynamic status was stable in admission, a tender hydropic gallbladder and abdominal distention and abundant rectal fresh bleeding with clot and severe icterus were progressed with hemorrhagic shock in second day. On series ultrasound examination, significant and progressive hydrops and bile sludge in the gallbladder and intra- extrahepatic bile ducts dilatation were shown.

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Purpose: Evaluating the technical success, clinical outcomes and safety of ultrasound-guided percutaneous cholecystostomy PC in patients with acute cholecystitis.

Material and Methods: Medical records of patients diagnosed as acute cholecystitis and treated with PC from year to were retrospectively examined. ASA scores, leukocyte counts, gall stone presence, bile cultures, additional interventions, interval surgery, procedure-related complications and mortality were reviewed.

Results: PC catheters were placed in patients 72 male, 55 female aged from 31 to years. No procedure related mortality or early major complications were observed. Six patients died after interval cholecystectomy and 4 patients died before the operation. Conclusion: PC can be preferred over primary cholecystectomy in acute cholecystitis patients. The procedure has high technical success, high clinical response and low complication rates. It can also serve as a definitive treatment option in patients with high surgical risk.

Cukurova Medical Journal. Zotero Mendeley EndNote. Treatment with ultrasound guided percutaneous cholecystostomy in acute cholecystitis: year a single-center experience. Interventional radiology , ultrasonography , acute cholecystitis , cholecystectomy. Cholecystectomy in the elderly: a prospective study. Br J Surg. Outcomes of percutaneous cholecystostomy in patients with high surgical risk. Tani Girisim Radyol.

Surgical rates and operative mortality for open and laparoscopic cholecystectomy in Maryland. N Engl J Med. Cholecystectomy in elderly patients. Am J Surg. Percutaneous cholecystostomy in patients with acute cholecystitis: experience of 45 patients at a US referral center. J Am Coll Surg. Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepato Biliary Pancreat Surg. Percutaneous cholecystostomy. Eur J Radiol. Outcome after percutaneous cholecystostomy for acute cholecystitis: a single-center experience.

J Gastrointest Surg. Gumus B. Percutaneous cholecystostomy as a first-line therapy in chronic hemodialysis patients with acute cholecystitis with midterm follow-up. Cardiovasc Intervent Radiol. Short- and long-term outcomes following percutaneous cholecystostomy for acute cholecystitis in high-risk patients. Surg Endosc. Percutaneous drainage versus emergency cholecystectomy for the treatment of acute cholecystitis in critically ill patients: does it matter?

World J Surg. Percutaneous cholecystectomy for patients with acute cholecystitis and an increased surgical risk.

Percutaneous gallbladder puncture and cholecystostomy: results, complications and caveats for safety. Can percutaneous cholecystostomy be a definitive management for acute acalculous cholecystitis? J Clin Gastroenterol. Percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis. Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients. Langenbecks Arch Surg. Tam Metin.

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34th Annual Congress of Turkish Pediatric Surgical Association

Important User Information: Remote access to EBSCO's databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use. However, remote access to EBSCO's databases from non-subscribing institutions is not allowed if the purpose of the use is for commercial gain through cost reduction or avoidance for a non-subscribing institution. Dec, Vol. Abstract: Moellerella winconsensis is a new member of the Enterobacteriaceae family.

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Purpose: Evaluating the technical success, clinical outcomes and safety of ultrasound-guided percutaneous cholecystostomy PC in patients with acute cholecystitis. Material and Methods: Medical records of patients diagnosed as acute cholecystitis and treated with PC from year to were retrospectively examined. ASA scores, leukocyte counts, gall stone presence, bile cultures, additional interventions, interval surgery, procedure-related complications and mortality were reviewed. Results: PC catheters were placed in patients 72 male, 55 female aged from 31 to years. No procedure related mortality or early major complications were observed. Six patients died after interval cholecystectomy and 4 patients died before the operation. Conclusion: PC can be preferred over primary cholecystectomy in acute cholecystitis patients.

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