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Acute Cholecystitis Caused by Malignant Cystic Duct Obstruction: Treatment with Metallic Stent Placement

  • Shiro MiyayamaEmail author
  • Masashi Yamashiro
  • Taro Takeda
  • Hiroyuki Aburano
  • Tetsuya Komatsu
  • Taku Sanada
  • Shotaro Kosaka
  • Daisyu Toya
  • Osamu Matsui
Case Report

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.

Keywords

Cholecystitis Cholecystostomy Cystic duct stent placement Malignant cystic duct obstruction 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Shiro Miyayama
    • 1
    Email author
  • Masashi Yamashiro
    • 1
  • Taro Takeda
    • 1
  • Hiroyuki Aburano
    • 1
  • Tetsuya Komatsu
    • 2
  • Taku Sanada
    • 3
  • Shotaro Kosaka
    • 3
  • Daisyu Toya
    • 3
  • Osamu Matsui
    • 4
  1. 1.Department of Diagnostic RadiologyFukuiken Saiseikai HospitalFukuiJapan
  2. 2.Department of Radiation OncologyFukuiken Saiseikai HospitalFukuiJapan
  3. 3.Department of Internal MedicineFukuiken Saiseikai HospitalFukuiJapan
  4. 4.Department of RadiologyKanazawa University Graduate School of Medical ScienceKanazawaJapan

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