Endoscopic Ultrasonography-Guided Gallbladder Drainage Replacement in Percutaneous Transhepatic Drainage: A Report of 2 Cases / 日本農村医学会雑誌

ABSTRACT

Case 1 An 82-year-old man presented with fever and right hypochondralgia, and he was diagnosed with acute cholecystitis. Percutaneous transhepatic gallbladder drainage (PTGBD) was performed on the day of admission. On hospital day 16, endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) was performed. The percutaneous drainage tube was removed on hospital day 22. Recovery was uneventful, and he was discharged on day 35. Case 2 A 72-yearold woman presented with fever and right hypochondralgia, and she was diagnosed with acute cholecystitis. PTGBD was performed the next day, and her general condition improved thereafter. She was diagnosed as having rectal cancer with liver metastasis, and we determined that invasion evaluated at cholecystectomy would possibly shorten survival time. We performed EUS-GBD on hospital day 10. The percutaneous drainage tube was removed on day 18 and her recovery was uneventful. She was discharged on day 39.