A Case of Acute Cholecystitis Successfully Treated With Endoscopic Ultrasound-Guided Gallbladder Drainage in a Patient With Osteogenesis Imperfecta

A Case of Acute Cholecystitis Successfully Treated With Endoscopic Ultrasound-Guided Gallbladder Drainage in a Patient With Osteogenesis Imperfecta

A 74-year-old man with severe osteogenesis imperfecta (OI) was admitted to our hospital because of repetitive cholecystitis due to a stone in the gallbladder neck. Because he had severe OI-related chest wall deformity and a high risk of complications from bronchial intubation, general anesthesia, an...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-11, Vol.15 (11), p.e48424
Hauptverfasser: Mandai, Koichiro, Uno, Koji
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen
Case reports
Endoscopy
Gallbladder
Gallbladder diseases
General anesthesia
Intubation
Small intestine
Surgery
Tomography
Ultrasonic imaging
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Zusammenfassung:A 74-year-old man with severe osteogenesis imperfecta (OI) was admitted to our hospital because of repetitive cholecystitis due to a stone in the gallbladder neck. Because he had severe OI-related chest wall deformity and a high risk of complications from bronchial intubation, general anesthesia, and surgery, we performed endoscopic ultrasound-guided gallbladder drainage (EUS-GBD). The postprocedural clinical course was uneventful, and he was discharged in satisfactory condition. EUS-GBD is a treatment option for acute cholecystitis in surgically high-risk patients with OI. However, special attention should be paid to the influence of sedation on the respiratory and cardiovascular systems during the procedure.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.48424