Abdominal Wall Cellulitis With Klebsiella oxytoca Infection After Rendezvous Endoscopic Retrograde Cholangiopancreatography via a Percutaneous Transhepatic Biliary Drainage Route: A Case Report
- VernacularTitle:経皮経肝胆道ドレナージルートを介したランデブーERCP後にKlebsiella oxytocaによる腹壁気腫を伴う蜂窩織炎を発症した1例
- Author:
Koji TAKAHASHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2020;69(4):405-
- CountryJapan
- Language:Japanese
- Abstract: An 86-year-old man was diagnosed with obstructive jaundice due to extrahepatic bile duct tumor. Percutaneous transhepatic biliary drainage (PTBD) was performed following failed transpapillary biliary drainage. The next day, a biliary metal stent was placed by rendezvous endoscopic retrograde cholangiopancreatography (ERCP) and a tube was also placed via the PTBD route. Two days later, a computed tomography scan showed emphysema in the abdominal wall where the PTBD tube was inserted. He was diagnosed with cellulitis. The PTBD tube was removed and incisional drainage was performed. Klebsiella oxytoca was cultured from the pus. He subsequently improved and was discharged 22 days after the rendezvous ERCP.
