Treatment of Acute Cholecystitis Caused by Malignant Cystic Duct Obstruction
Posted on 12/27/2011
Caused by Malignant Cystic Duct Obstruction: Treatment with Metallic Stent Placement
Acute Cholecystitis Caused by Malignant Cystic Duct Obstruction: Treatment with Metallic Stent Placement
Abstract We report the successful management of acute cholecystitis using cystic duct stent placement in 3 patients with inoperable malignant cystic duct obstruction (2 cholangiocarcinoma and 1 pancreatic carcinoma). All patients underwent stent placement in the bile duct, using an uncovered stent in 2 and a covered stent in 1, to relieve jaundice occurring 8–184 days (mean 120 days) before the development of acute cholecystitis. The occluded cystic duct was traversed by a microcatheter and a stent was implanted 4–17 days (mean 12 days) after cholecystostomy. Acute cholecystitis was improved after the procedure in all patients. Two patients died 3 and 10 months later, while 1 has survived without cholecystitis for 22 months after the procedure to date.
Shiro Miyayama . Masashi Yamashiro . Taro Takeda . Hiroyuki Aburano . Tetsuya Komatsu . Taku Sanada . Shotaro Kosaka . Daisyu Toya . Osamu Matsui
S. Miyayama et al.: Stent for Malignant Cystic Duct Occlusion Received: 23 July 2007 / Accepted: 16 October 2007 / Published online: 15 November 2007.
