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KMID : 0985520130180030032
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 3 p.32 ~ p.36
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A Case of Acute Cholecystitis with Perforation after Pancreatic Stent Insertion in a Patient with Chronic Pancreatitis
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Kim Jung-Wook
Dong Seok-Ho
Park Choul-Ki
Chae Jung-Min
Koo Ja-Won
Kim Tae-Young
Ko Weon-Jin
Hong Seong-Hun
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Abstract
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Cholecystitis complicates approximately 0.2% to 0.5% of endoscopic retrograde cholangiopancreatographys (ERCPs). The risk appears to be correlated with the presence of stones in the gallbladder (GB), possibly filling of the GB with contrast, and placement of metal stents. However, acute acalculous cholecystitis with perforation after ERCP is extremely rare. A 56-year-old male with chronic pancreatitis was admitted for endoscopic treatment of chronic pancreatitis. Two days after pancreatic stent insertion, he presented with acute cholangitis without bile duct dilatation. He underwent two plastic biliary stents insertion. After two days, he had complained of acute right upper abdominal pain with muscle guarding. Abdominal computed tomographic scan showed focal discontinuity of GB wall and fluid collection of pericholecystic area and pelvic cavity. He had been successfully managed by percutaneous GB drainage and biliary stent removal without operation. Herein we report a case of acute acalculous cholecystitis with perforation that developed after ERCPs.
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KEYWORD
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endoscopic retrograde cholangiopancreatography, complication, acute cholecystitis, gallbladder perforation
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