A Rare Complication of Percutaneous Cholecystostomy: Biliary Peritonitis

Year 2025, Volume: 15 Issue: 4

Fırat Erkmen , Rohat Benek , Faik Tatlı

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.

Keywords

acute cholecystitis , Percutaneous cholecystostomy , Biliary Peritonitis

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