A Case of Acute Acalculous Cholecystitis Complicating Endoscopic Retrograde Cholangiopancreatography.
- Author:
Byeong Kab YOON
1
;
In Suh PARK
;
Yong Sun JEON
;
Jin Woo LEE
;
Seok JEONG
;
Jung Il LEE
;
Kye Sook KWON
;
Don Haeng LEE
;
Pum Soo KIM
;
Hyung Gil KIM
;
Yong Woon SHIN
;
Young Soo KIM
Author Information
1. Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. inos@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Acute cholecystitis;
Acalculous cholecystitis;
Endoscopic retrograde cholangiopancreatography;
Complication
- MeSH:
Abdominal Pain;
Acalculous Cholecystitis*;
Biliary Tract;
Cholangiopancreatography, Endoscopic Retrograde*;
Cholangitis;
Cholecystectomy;
Cholecystitis, Acute;
Common Bile Duct;
Diagnosis;
Diagnosis, Differential;
Hemorrhage;
Humans;
Incidence;
Middle Aged;
Mortality;
Pancreas;
Pancreatitis;
Shock, Septic
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(1):62-67
- CountryRepublic of Korea
- Language:Korean
-
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.
