PDF(Pubmed)
Abstract：
Acute cholecystitis is a common cause of Emergency Department presentation and hospital admission. It is usually treated with early surgical removal of the gallbladder; however, some patients may not be fit to undergo the procedure due to critical illness or comorbidities. In these patients, options are limited. Endoscopic retrograde cholangiopancreatography interventions in this population are not well-studied. We present a case of a high-risk 59 year old female patient with a history of end-stage renal disease, heart failure, hypertension, pulmonary hypertension, and type 2 diabetes who presented with acute cholecystitis. She was successfully treated with cystic duct disimpaction without stenting, and continues to do well post-procedure with complete resolution of symptoms and abnormal lab findings.
摘要：
急性胆囊炎是急诊就诊和入院的常见原因。通常通过早期手术切除胆囊来治疗;然而，一些患者可能由于危重疾病或合并症而不适合接受手术。在这些患者中,选项有限。该人群的内镜逆行胰胆管造影术干预措施尚未得到充分研究。我们介绍了一例59岁的高危女性患者，有终末期肾病史，心力衰竭,高血压,肺动脉高压,和以急性胆囊炎为表现的2型糖尿病。她成功地在没有支架的情况下进行了胆囊管狭窄治疗，并在手术后继续做得很好，症状和异常实验室发现得到完全解决。
