Content area

|
|

Behandling af akut kolecystitis hos gravide i tredje trimester

Forfatter(e)
Asger Eller1, Susy Shim2, Louise Sigvardt3, Peter Rask1 & Michael Festersen Nielsen1 1) Kirurgisk Afdeling, Regionshospitalet Viborg 2) Gynækologisk Afdeling, Aalborg Universitetshospital 3) Billeddiagnostisk Afdeling, Regionshospitalet Viborg Ugeskr Læger 2016;178:V12150954
Reference: 
Ugeskr Læger 2016;178:V12150954
Blad nummer: 
Sidetal: 
2-3
Treatment of acute cholecystitis in a third-trimester pregnant women
This case report describes a 35-year-old female with acute cholecystitis 36 weeks into her pregnancy. Laparoscopic cholecystectomy was assessed not to be possible. An ultrasonic guided percutaneous transhepatic gall bladder drainage was performed resulting in immediate pain relief. The patient was discharged two days later, and the drain sat in place until a caesarian section was per­­formed. A post-surgery cholangiography demonstrated stones in the gall bladder but no stones in the common bile duct. An un­eventful laparoscopic cholecystectomy was carried out three months after surgery. The case report demon­strates that percutaneous transhepatic gall bladder drain­age is a safe procedure to be considered in women with chole­cystitis in which cholecystectomy is not possible or assumed to be associated with an unacceptable high risk.
Du skal være logget ind for at læse denne artikel
Log ind

Right side