Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report

INTRODUCTION: Endoscopic retrograde cholangiopancreaticography has been the treatment of choice for stones in the common bile duct. Although the procedure is usually safe, procedure-related complications do occur. CASE PRESENTATION: A case of pancreatitis following endoscopic retrograde cholangiopan...

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Detalles Bibliográficos
Autores principales: Kanen, Boris, Loffeld, Ruud JLF
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443156/
https://www.ncbi.nlm.nih.gov/pubmed/18577211
http://dx.doi.org/10.1186/1752-1947-2-215
Descripción
Sumario:INTRODUCTION: Endoscopic retrograde cholangiopancreaticography has been the treatment of choice for stones in the common bile duct. Although the procedure is usually safe, procedure-related complications do occur. CASE PRESENTATION: A case of pancreatitis following endoscopic retrograde cholangiopancreaticography is described in a 55-year-old woman. After an uneventful recovery the patient's condition deteriorated rapidly 16 days after the endoscopic retrograde cholangiopancreaticography, and the patient died within 1 hour. Post-mortem examination revealed massive intrapulmonary fat embolism. The complications of endoscopic retrograde cholangiopancreaticography and pancreatitis are described. CONCLUSION: Fat embolism can occur after the remission of pancreatitis and pancreatic necrosis may be overlooked on contrast-enhanced computed tomography scanning.

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