When is percutaneous cholecystostomy indicated?
Its two primary indications are:
- Persistent and unexplained sepsis in critically ill patients with acalculous cholecystitis
- Acute cholecystitis in patients too ill to undergo surgeryIn unstable patients, it can be performed at the bedside, if necessary.
- Less frequent indications include temporary treatment for gallbladder perforation, drainage for distant malignant biliary obstruction, and transcholecystic biliary intervention.
