Perforation as a cause of failure in the conservative treatment of acute cholecystitis: Is percutaneous cholecystostomy a sufficient treatment?

Acute cholecystitis is one of the most common surgical emergencies [1]. Today, conservative methods, Percutaneous Cholecystostomy (PC) and surgery can be applied to treat this condition. Early surgery, especially Laparoscopic Cholecystectomy (LC) is the first choice and definitive treatment for indicated cases. However, conservative methods and/or percutaneous methods are preferred in high-risk cases that are not suitable for surgery. The main factors to be considered in treatment to are age and comorbidities of the patient, the associated Charlson Comorbidity Index (CCI), American Society of Anesthesiologists Physical Status Classification (ASA-PS) score and Acute Cholecystitis Severity Grading (ACSG), and other factors, such as the time between the onset of the event and presentation to the hospital [2-4].