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Original Article
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Korean J Med. 2005;69(3):777-781.
- 증례 : 경피경간적 담낭 배액술로 완치된 급성 기종성 담낭염 1예
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이상훈&#;황성준&#;이세준&#;백용한&#;이상인&#;이광훈&#;이동기, , , , , ,
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- A case report of acute emphysematous cholecystitis that cured by percutaneous transhepatic gallbladder drainage
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Sang Hun Lee, Seoung Joon Hwang, Se Joon Lee, Yong Han Baeg, Sang In Lee, Kwang Hun Lee, Dong Ki Lee
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Department of Medicine, Sungkyunkwan University School of Medicine
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- Abstract
- Emphysematous cholecystitis is an unusual variant of acute cholecystitis caused by gas-forming organisms. It is characterized by the presence of gas in the gall bladder lumen, wall or pericholecystic tissues. It is thought to be a rare but life-threatening disease with high morbidity and mortality rates than those for other types of acute cholecystitis. Management of emphysematous cholecystitis is surgical removal of gallbladder. Recently, percutaneous cholecystostomy drainage is employed in patients with complications such as perforation and in those who have high surgical risk.
It is demonstrated to lower the surgical mortality rates, but it still does not obviate the need for surgical removal of the gallbladder. Percutaneous cholecystostomy may be used for definite therapeutic procedure of emphysematous cholecystitis and we report a case of emphysematous cholecystitis that was cured by the percutaneous cholecystotomy without surgical procedure.(Korean J Med 69:S777-S781, 2005)
Keywords :Acute cholecystitis, Emphysematous cholecystitis, Percutaneous cholecystostomy, Percutaneous transhepatic gallbladder dr
