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Journals / Sakarya Tıp Dergisi / 2025 / Volume: 15 Issue: 4

A Rare Complication of Percutaneous Cholecystostomy: Biliary Peritonitis

Fırat Erkmen(HARRAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-7102-8973
Rohat Benek(HARRAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-5540-4315
Faik Tatlı(HARRAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-7488-1854
Pages
—
Publication Date
2025-12-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Percutaneous cholecystostomy (PC) is recommended as the first alternative to surgical intervention in patients with acute cholecystitis (AC) who are at high surgical risk, according to the Tokyo Guidelines 2018 (1).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Percutaneous cholecystostomy (PC) is recommended as the first alternative to surgical intervention in patients with acute cholecystitis (AC) who are at high surgical risk, according to the Tokyo Guidelines 2018 (1).
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Key Findings & Data:The reported complication rate following this procedure ranges from 3% to 26% (2,3).
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Conclusion & Impact:This report presents two cases of AC patients who developed complications following PC and required emergency surgery.
🔬Design:Letter to Editor
📍Scope:2018 Verileri
⚙️Variables:acute cholecystitis · Percutaneous cholecystostomy · Biliary Peritonitis

Abstract

Percutaneous cholecystostomy (PC) is recommended as the first alternative to surgical intervention in patients with acute cholecystitis (AC) who are at high surgical risk, according to the Tokyo Guidelines 2018 (1). The reported complication rate following this procedure ranges from 3% to 26% (2,3). Complications associated with PC typically occur immediately or within a few days and include hemorrhage, vagal reactions, sepsis, biliary peritonitis, pneumothorax, intestinal perforation, and secondary infections (4). Among these, biliary peritonitis is a rarer complication, necessitating urgent exploration and significantly increasing mortality and morbidity. This report presents two cases of AC patients who developed complications following PC and required emergency surgery.

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Cite This Article

Erkmen, F., Benek, R., Tatlı, F. (2025). A Rare Complication of Percutaneous Cholecystostomy: Biliary Peritonitis. Sakarya Tıp Dergisi, Volume: 15 Issue: 4. https://doi.org/10.31832/smj.1675479

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References (8)

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