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.