Shafi Shahaan, Husnain Ali, Riaz Ahsun
Department of Radiology, Section of Interventional Radiology, Northwestern Memorial Hospital, Chicago, IL.
Radiol Case Rep. 2025 Jan 15;20(4):1844-1849. doi: 10.1016/j.radcr.2024.12.019. eCollection 2025 Apr.
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.
内镜超声引导下胆囊引流术（EUS-GBD）联合管腔贴附金属支架（LAMS）已成为在管理有开腹或腹腔镜胆囊切除术禁忌证的急性胆囊炎患者时，经皮胆囊造瘘术的一种有效替代方法。在此，作者描述了一例69岁男性患者，因急性结石性胆囊炎伴脓毒症就诊于介入放射科，且LAMS迁移至胆囊。在通过经皮胆囊造瘘术使患者病情稳定后，进行了经皮胆囊碎石术/取石术、胆囊十二指肠支架置入术以及LAMS取出术。本报告强调了与LAMS置入的EUS-GBD相关的潜在并发症，并为关于迁移LAMS的经皮处理的有限文献做出了贡献。
