ERCP, Acute cholecystitis, Gallbladder perforation"/> A Case of Acute Cholecystitis with a Perforation Complicating Endoscopic Retrograde Cholangiopancreatography
Korean J Gastrointest Endosc > Volume 42(3); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(3): 185-189.
내시경 역행성 담췌관 조영술 후 발생된 천공을 동반한 급성 담낭염 1예
유승희ㆍ노명환ㆍ한지선ㆍ우수미ㆍ김병근ㆍ형건덕ㆍ박소영ㆍ김준모
동아대학교 의과대학 내과학교실
A Case of Acute Cholecystitis with a Perforation Complicating Endoscopic Retrograde Cholangiopancreatography
Seung Hee Ryu, M.D., Myung Hwan Noh, M.D., Ji Sun Han, M.D., Su Mi Woo, M.D., Byung Geun Kim, M.D., Chien Ter Hsing, M.D., So Young Park, M.D. and Joon Mo Kim, M.D.
Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea
Abstract
The incidence of acute cholecystitis complicating endoscopic retrograde Cholangiopancreatography (ERCP) is rarely reported at 0.2% but is usually associated with a cystic duct obstruction caused by gallstones, gallbladder polyps, or cancer. However, acute cholecystitis with a gallbladder perforation after ERCP without a history of cystic duct obstruction can develop very rarely and has not yet been reported in Korea. We report a case of acute cholecystitis with gallbladder perforation and aggravation of a pancreatic pseudocyst after diagnostic ERCP in a man with a pancreatic cystic lesion. He has been successfully cured using only percutaneous transhepatic gallbladder drainage and antibiotics with no surgery. (Korean J Gastrointest Endosc 2011;42:185-189)
Key Words: ERCP, Acute cholecystitis, Gallbladder perforation
주요어: 내시경 역행성 담췌관 조영술, 급성 담낭염, 담낭 천공
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