Percutaneous endoscopy-guided gallbladder lumen-apposing metal stent retrieval, lithotripsy, and cholecystoduodenal stenting in a patient with acute cholecystitis
{"title":"Percutaneous endoscopy-guided gallbladder lumen-apposing metal stent retrieval, lithotripsy, and cholecystoduodenal stenting in a patient with acute cholecystitis","authors":"Shahaan Shafi BS, Ali Husnain MD, Ahsun Riaz MD","doi":"10.1016/j.radcr.2024.12.019","DOIUrl":null,"url":null,"abstract":"<div><div>Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with lumen apposing metal stent (LAMS) has emerged as an effective alternative to percutaneous cholecystostomy in managing acute cholecystitis patients with contraindications to open or laparoscopic cholecystectomy. Herein, the authors describe a case of a 69-year-old male who presented to interventional radiology with sepsis due to acute calculous cholecystitis and LAMS migration into the gallbladder. After stabilizing the patient with percutaneous cholecystostomy, percutaneous cholecysto-lithotripsy/lithectomy, cholecystoduodenal stenting, and LAMS retrieval were performed. This report highlights the potential complications associated with EUS-GBD with LAMS insertion and contributes to the limited literature on percutaneous management of migrated LAMS.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1844-1849"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783214/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043324013852","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/15 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) with lumen apposing metal stent (LAMS) has emerged as an effective alternative to percutaneous cholecystostomy in managing acute cholecystitis patients with contraindications to open or laparoscopic cholecystectomy. Herein, the authors describe a case of a 69-year-old male who presented to interventional radiology with sepsis due to acute calculous cholecystitis and LAMS migration into the gallbladder. After stabilizing the patient with percutaneous cholecystostomy, percutaneous cholecysto-lithotripsy/lithectomy, cholecystoduodenal stenting, and LAMS retrieval were performed. This report highlights the potential complications associated with EUS-GBD with LAMS insertion and contributes to the limited literature on percutaneous management of migrated LAMS.
期刊介绍：
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
