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.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Rabdomiólise
/
Tomografia Computadorizada por Raios X
/
Drenagem
/
Colangiopancreatografia Retrógrada Endoscópica
/
Duodenoscopia
/
Sepse
/
Endossonografia
/
Colecistite Aguda
/
Escherichia coli
/
Irrigação Terapêutica
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2015
Tipo de documento:
Artigo
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