Korean J Gastrointest Endosc > Volume 31(1); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(1): 62-67.
내시경 역행 담췌관조영술 후 발생한 급성 비결석성 담낭염 1예
윤병갑·박인서*·전용선†·이진우·정 석·이정일·권계숙·이돈행·김범수·김형길·신용운·김영수
인하대학교 의과대학 내과학교실, *병리학교실, †방사선과학교실
A Case of Acute Acalculous Cholecystitis Complicating Endoscopic Retrograde Cholangiopancreatography
Byeong Kab Yoon, M.D., In Suh Park, M.D.*, Yong Sun Jeon, M.D.†, Jin-Woo Lee, M.D., Seok Jeong, M.D., Jung Il Lee, M.D., Kye Sook Kwon, M.D., Don Haeng Lee, M.D., Pum-Soo Kim, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D.
Departments of Internal Medicine, *Pathology and †Radiology, Inha University College of Medicine, Incheon, Korea
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) has gained wide acceptance as a valuable tool for the diagnosis and management of disease of the pancreas and biliary tract. Complications associated with ERCP include bleeding, perforation, pancreatitis, and cholangitis, and the incidence is about 5∼10%. Acute acalculous cholecystitis can be developed rarely after ERCP. It tends to have more complicated course, resulting in higher morbidity and mortality. We report a case of acute acalculous cholecystitis complicating therapeutic ERCP in a 52-year-old man with primary common bile duct stone. He underwent open cholecystectomy because of uncontrolled infection and rapid progression to septic shock. Although acute acalculous cholecystitis is one of rare complications developed after ERCP, it should be considered as one of the differential diagnosis in patients who complain of abdominal pain after ERCP because of high mortality rate and the need for prompt surgical management. (Korean J Gastrointest Endosc 2005;31:62⁣67)
Key Words: Acute cholecystitis, Acalculous cholecystitis, Endoscopic retrograde cholangiopancreatography, Complication
주요어: 급성 담낭염, 비결석성 담낭염, 내시경 역행 담췌관조영술, 합병증
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