Acalculous Cholecystitis in Burn Patients: Is There a Role for Percutaneous Cholecystostomy?

Steven J Hermiz; Paul Diegidio; Roja Garimella; Shiara Ortiz-Pujols; Hyeon Yu; Ari Isaacson; Matthew A Mauro; Bruce A Cairns; Charles Scott Hultman

doi:10.1016/j.cps.2017.02.025

Acalculous Cholecystitis in Burn Patients: Is There a Role for Percutaneous Cholecystostomy?

Clin Plast Surg. 2017 Jul;44(3):567-571. doi: 10.1016/j.cps.2017.02.025. Epub 2017 Apr 26.

Authors

Steven J Hermiz¹, Paul Diegidio², Roja Garimella³, Shiara Ortiz-Pujols², Hyeon Yu⁴, Ari Isaacson⁴, Matthew A Mauro⁴, Bruce A Cairns², Charles Scott Hultman⁵

Affiliations

¹ Department of Surgery, University of South Carolina School of Medicine, Columbia, SC 29209, USA.
² Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.
³ Alpert Medical School, Brown University, Providence, RI 02903, USA.
⁴ Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA.
⁵ Division of Plastic Surgery, Department of Surgery, University of North Carolina School of Medicine, Suite 7038, Burnett Womack, CB#7195, Chapel Hill, NC 27599, USA. Electronic address: cshult@med.unc.edu.

PMID: 28576245
DOI: 10.1016/j.cps.2017.02.025

Abstract

Although acute acalculous cholecystitis is uncommon in burn patients, this condition can be rapidly fatal due to delays in diagnosis and treatment and should always be considered in the differential diagnosis when burn patients become septic, develop abdominal pain, or have hemodynamic instability. This article reviews the use of percutaneous cholecystostomy in burn patients as both a diagnostic and therapeutic intervention.

Keywords: Acalculous cholecystitis; Percutaneous cholecystostomy; Sepsis.

Publication types

Review

MeSH terms

Acalculous Cholecystitis / diagnosis
Acalculous Cholecystitis / etiology*
Acalculous Cholecystitis / surgery*
Burns / complications*
Cholecystostomy*
Diagnosis, Differential
Humans