The Korean Journal of Gastroenterology  2015;65(6):370-374

doi:10.4166/kjg.2015.65.6.370

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 1 ; 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

Affiliations

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Keywords

Sepsis; Rhabdomyolysis; Cholangitis; Cholecystitis; Endosonography

Country

Republic of Korea

Language

English

Abstract

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.