Abstract
Gallstone disease is common and costly. Cholecystectomy is the preferred method of treatment. Alternatives to cholecystectomy, however, are needed in patients with high surgical risks. Available alternatives include percutaneous cholecystostomy, endoscopic retrograde cholangiopancreatography (ERCP) transpapillary gallbladder drainage, and dissolution therapy. More effective minimally invasive alternatives are needed as these approaches have limited efficacy and do not completely clear gallstones. We present a case of a 94 year old female with multiple medical co-morbidities and recurrent acute gallstone cholecystitis managed with placement of a cholecystostomy tube due to her high surgical risk. The patient continued to have multiple admissions for symptomatic choledocholithiasis despite the cholecystostomy tube, an endoscopic sphincterotomy, and interventional radiology placed internal/external catheter.
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