1.A Case of Acute Cholecystitis after Colonoscopy.
Jung Ho YUN ; Woo Jin JEONG ; Woo Sung CHANG ; Min Hyeong JO ; Jong Kyu PARK ; Sang Jin LEE ; Young Don KIM ; Gab Jin CHEON
The Korean Journal of Gastroenterology 2013;61(1):42-45
A 43-year-old man, who received total gastrectomy five years ago for advanced gastric cancer, underwent a screening colonoscopy and abdominal CT scan. Abdominal CT scan revealed no abnormal findings. Colonoscopy revealed polyps at the rectum, which were removed by polypectomy. The patient did not complain of abdominal pain or discomfort throughout the procedure. But, he developed right upper quadrant abdominal pain on the next day after colonoscopy. Abdominal CT scan revealed the distended gallbladder with mild wall thickening and suspicious sandy stones or sludge in the gallbladder. The patient underwent an open cholecystectomy. Pathology was compatible with acute cholecystitis. We should be aware of and consider cholecystitis in the differential diagnosis for patients with abdominal pain after colonoscopy.
Adult
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Cholangiopancreatography, Magnetic Resonance
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Cholecystectomy
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Cholecystitis, Acute/*diagnosis/etiology/pathology
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Colonoscopy/*adverse effects
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Diagnosis, Differential
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Gallbladder/pathology
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Gallstones/diagnosis
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Humans
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Male
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Polyps/pathology
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Tomography, X-Ray Computed
2.Bedside Endoscopic Ultrasound-guided Transgastric Gallbladder Aspiration and Lavage in a High-risk Surgical Case Due to Acute Cholecystitis Accompanied by Multiorgan Failure.
So Hee YUN ; Moon Shik PARK ; Jae Un LEE ; Min A YANG ; Sang Hoon HAN ; Young Jae LEE ; Geum Mo JEONG ; Yong Keun CHO ; Ji Woong KIM ; Jin Woong CHO
The Korean Journal of Gastroenterology 2015;65(6):370-374
Cholangitis and cholecystitis are intra-abdominal infections that show poor prognosis upon progression to sepsis and multiorgan failure. Administration of antibiotics with high antimicrobial susceptibility and removal of infected bile at the initial treatment are important. After undergoing ERCP for diagnostic purposes, a 58-year-old man developed acute cholangitis and cholecystitis accompanied by rhabdomyolysis, multi-organ failure, and severe sepsis. Broad-spectrum antibiotics with bedside endoscopic nasobiliary drainage were administered, but clinical symptoms did not improve. Therefore, bedside EUS-guided transgastric gallbladder aspiration and lavage was performed, resulting in successful treatment of the patient. We report the above described case along with a discussion of relevant literature.
Cholangiopancreatography, Endoscopic Retrograde
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Cholecystitis, Acute/complications/*diagnosis/diagnostic imaging
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Drainage
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Duodenoscopy
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Endosonography
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Escherichia coli/isolation & purification
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Humans
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Male
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Middle Aged
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Multiple Organ Failure/pathology
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Rhabdomyolysis/complications/diagnosis
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Sepsis/diagnosis/etiology/microbiology
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Therapeutic Irrigation
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Tomography, X-Ray Computed