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KMID : 0359019940140040482
Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 4 p.482 ~ p.488
A Case of Gallbladder Perforation Treated by Percutaneous Transhepatic Cholecystic Drainage and Percutaneous Peritoneal Drainage
권강호
홍수진/박찬욱/송동화/이준성/이문성/조성원/심찬섭
Abstract
Perforation of gallbladder is a serious complication of acute cholecystitis with alarmingly high mortality rate. These high mortality and morbidity rates were caused by delay in prompt diagnosis and adequate therapy. Especially, mortality and
morbidity
rates rise markedly in the elderly patient with severe systemic illness. In the patients of gallbladder perforation who are poor candidate for general anesthesia and major operation, percutaneous cholecystic drainage procedure is good
alternatives.
We experienced a case of gallbladder perforation which was treated successfully by non-operative percutaneous transhepatic cholecystic drainage(PTCCD) in 65-year-old female. She couldn't be a candidate for cholecystectomy or operative
chlecystostomy
because of severe adhesion of gallbladder to adjacent organ and tissue due to previous gallbladder empyema. We decided to take non-operative percutaneous transhepatic cholecystic drainage and percutaneous peritoneal drainage of abdominal abscess.
Thereafter, we examined gallbladder by percutaneous transhepatic cholecystoscopy (PTCCS) and rule out gallstone and gallbladder malignancy. So, we presented the case with the brief review of the literatures.
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학술진흥재단(KCI) KoreaMed 대한의학회 회원