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- Koichiro Miyagawa, Kenta Kajitani, Takahiro Makita, Kosuke Hideshima, Nobuhiko Shinohara, Shinji Oe, Yuichi Honma, Michihiko Shibata, and Masaru Harada.
- The Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan.
- Intern. Med. 2024 Sep 15; 63 (18): 252525312525-2531.
AbstractAbscesses associated with gallbladder perforation are often confined to the peri-gallbladder region. We herein report a rare case of gallbladder perforation in which the abscess cavity extended into the left upper quadrant. A 79-year-old woman developed gallbladder perforation secondary to acalculous cholecystitis. Computed tomography revealed fluid collection extending from the peri-gallbladder to the dorsal left hepatic lobe in contact with the stomach. We successfully treated percutaneous transhepatic gallbladder drainage and simultaneous endoscopic ultrasound-guided transgastric internal and external abscess drainage. This minimally invasive approach is considered safe and feasible for managing such a rare case.
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