Successful treatment with endoscopic transpapillary drainage for gallbladder perforation associated with steroid treatment for interstitial pneumonia (with video)

JGH Open. 2020 Jul 30;4(6):1233-1235. doi: 10.1002/jgh3.12397. eCollection 2020 Dec.

Abstract

This case report highlights the clinical efficacy of endoscopic transpapillary drainage for gallbladder perforation in a high-risk surgical patient with a history of steroid treatment for interstitial pneumonia. The usefulness of endoscopic transpapillary gallbladder drainage in high-risk surgical patients with acute cholecystitis has not been established. In difficult cases of emergent surgery, such as described here, endoscopic transpapillary drainage is a promising method to manage gallbladder perforation and acute cholecystitis recurrence.

Keywords: a high‐risk surgical patient; acute cholecystitis; endoscopic gallbladder stenting; endoscopic transpapillary drainage; gallbladder perforation.