Bedside Endoscopic Ultrasound-guided Transgastric Gallbladder Aspiration and Lavage in a High-risk Surgical Case Due to Acute Cholecystitis Accompanied by Multiorgan Failure / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 370-374, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-223600
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Rabdomiólisis
/
Tomografía Computarizada por Rayos X
/
Drenaje
/
Colangiopancreatografia Retrógrada Endoscópica
/
Duodenoscopía
/
Sepsis
/
Endosonografía
/
Colecistitis Aguda
/
Escherichia coli
/
Irrigación Terapéutica
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Investigación cualitativa
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
The Korean Journal of Gastroenterology
Año:
2015
Tipo del documento:
Artículo
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