A 46-year-old man was admitted to the hospital for treatment of an early gastric cancer which was detected at a medical checkup. For the IIc ul(+) lesion in the anterior wall of the lower body of stomach, subtotal gastrectomy with R2 lymph node dissection and jejunum-interposed reconstruction was performed. On the 16th postoperative day bleeding with suture failure at the anastomosed site between the jejunum and duodenum developed. Emergency laparotomy was carried out and the bleeding from the common hepatic artery was confirmed. Under a diagnosis of rupture of pseudoaneurysm the common hepatic artery and gastroduodenal artery were ligated. Postoperative hepatic impairment was minimal, but ischemic cholecystitis due to circulatory disturbance and biliary perforation were associated. For this condition PTGBD was conducted, leading to a remission conserva-tively, though biliary fistula was formed thereafter. This paper describes a relatively rare case successfully cured by PTGBD without secondary cholecystectomy in which there was no remnant biliary fistula and cicatrization and contraction of the gallbladder occurred.