EUS-GUIDED GALLBLADDER DRAINAGE FOR ACUTE CHOLECYSTITIS

DOI
  • TAWA Hideki
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • OGURA Takeshi
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • TAKAGI Wataru
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • ONDA Saori
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • SANO Tatsushi
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • IMOTO Akira
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • MIYANO Akira
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • OKUDA Atsushi
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • MASUDA Daisuke
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.
  • HIGUCHI Kazuhide
    2<sup>nd</sup> Department of Internal Medicine, Osaka Medical College.

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Other Title
  • EUS下胆嚢ドレナージ術が有用であった急性胆嚢炎の1例

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Description

A 90-year-old man was admitted to our hospital because of fever and abdominal pain. On computed tomography imaging, his gallbladder was swollen ; therefore, he was diagnosed with acute cholecystitis. Due to dementia and to avoid self-removal of the tube, endoscopic ultrasonography (EUS)-guided gallbladder drainage was attempted. First, the gallbladder was punctured using a 19G FNA needle from the duodenal bulb. A 0.025 inch guidewire was inserted into the gallbladder, and after dilation of the fistula, a fully covered metallic stent was placed from the gallbladder to the duodenum. To prevent stent migration, a pigtail plastic stent was placed within the metallic stent. Adverse events were not seen. Herein, we reported a case of acute cholecystitis in which EUS-guided gallbladder drainage was clinically effective.

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