A 87-year-old man was admitted to our hospital because of right hypochondralgia and fever. He was diagnosed as acute moderate cholecystitis and required drainage of the gallbladder. Percutaneous drainage was not indicated, since he was being treated with low dose aspirin for lacunar infarction. Therefore, we performed endoscopic naso-gallbladder drainage (ENGBD) and the patient subsequently recovered. ENGBD is useful for acute cholecystitis, when the US guided percutaneous route is not indicated due to ascites or hemorrhagic tendency, despite the fact that ENGBD is technically more difficult than the percutaneous route.Key words: endoscopic naso-gallbladder drainage (ENGBD), acute cholecystitis
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