경피경간적 담낭 배액술로 완치된 급성 기종성 담낭염 1예

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.