Table of Contents    
Case Report
 
Is percutaneous cholecystostomy a safe alternative for neutropenic patients with severe biliary septic shock?
Nicolae I Simion1
1Riviera Hospital, General Surgery Department, Avenue Belmont no. 25, 1820 Montreux, Switzerland.

Article ID: 100003IJHPDNIS2012
doi:10.5348/ijhpd-2012-3-CR-1

Address correspondence to:
Nicolae I. Simion
M.D. Riviera Hospital, General Surgery Department
Avenue Belmont no. 25
1820 Montreux
Switzerland
Phone: +41 219666736; +41 764945008
Email: nicolaeirinel.simion@hopital-riviera.ch; irisnicol@gmail.com

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How to cite this article:
Simion NI. Is percutaneous cholecystostomy a safe alternative for neutropenic patients with severe biliary septic shock? International Journal of Hepatobiliary and Pancreatic Diseases 2012;2:1-3.


Abstract
Introduction: Acalculous cholecystitis is a relatively rare form of acute cholecystitis appearing in critically ill patients.
Case Report: We present the case of a male patient under chemotherapy for myeloid leukemia who developed a severe septic shock secondary to an acute acalculous cholecystitis. Because of hemodynamic instability requiring high-dose of vasoactive amines, percutaneous gallbladder drainage was done. After this intervention, the septic shock could be controlled, but a bleeding liver laceration was observed, fortunately without morbidity consequences.
Conclusion: Acute acalculous cholecystitis is a life-threatening condition in neutropenic patients and percutaneous gallbladder drainage could be a minimally invasive and safe alternative treatment in high-risk patient.

Key Words: Alithiasic cholecystitis, Thrombopenia, Neutropenia, Septic shock, Cholecystostomy, Gallbladder drainage

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Author Contributions:
Nicolae I Simion - Conception and design, acquisition of data, analysis and interpretation of data; Drafting the article and revising it critically for important intellectual content; Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
We do not have any financial interest of interest
Copyright:
© Nicolae I Simion 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)