Korean J Gastrointest Endosc.  2011 Mar;42(3):185-189.

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

Affiliations
  • 1Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. mhnho@dau.ac.kr

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.

Keyword

ERCP; Acute cholecystitis; Gallbladder perforation

MeSH Terms

Anti-Bacterial Agents
Cholangiopancreatography, Endoscopic Retrograde
Cholecystitis, Acute
Cystic Duct
Drainage
Gallbladder
Gallstones
Incidence
Korea
Pancreatic Cyst
Pancreatic Pseudocyst
Polyps
Anti-Bacterial Agents
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