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KMID : 0359020110420030185
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 3 p.185 ~ p.189
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A Case of Acute Cholecystitis with a Perforation Complicating Endoscopic Retrograde Cholangiopancreatography
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Ryu Seung-Hee
Roh Myung-Hwan
Han Ji-Sun
Woo Su-Mi
Kim Byung-Geun
Hsing Chien-Ter
Park So-Young
Kim Joon-Mo
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Abstract
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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.
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KEYWORD
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ERCP, Acute cholecystitis, Gallbladder perforation
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