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A Case of Acute Cholecystitis with a Perforation Complicating Endoscopic Retrograde Cholangiopancreatography  

Ryu, Seung-Hee (Department of Internal Medicine, Dong-A University College of Medicine)
Noh, Myung-Hwan (Department of Internal Medicine, Dong-A University College of Medicine)
Han, Ji-Sun (Department of Internal Medicine, Dong-A University College of Medicine)
Woo, Su-Mi (Department of Internal Medicine, Dong-A University College of Medicine)
Kim, Byung-Geun (Department of Internal Medicine, Dong-A University College of Medicine)
Hsing, Chien-Ter (Department of Internal Medicine, Dong-A University College of Medicine)
Park, So-Young (Department of Internal Medicine, Dong-A University College of Medicine)
Kim, Joon-Mo (Department of Internal Medicine, Dong-A University College of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.3, 2011 , pp. 185-189 More about this Journal
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.
Keywords
ERCP; Acute cholecystitis; Gallbladder perforation;
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