Revista Mexicana de Cirugía Endoscópica

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>Journals >Revista Mexicana de Cirugía Endoscópica >Year 2009, Issue 1

Murillo ZA, Vidal GP, Cárdenas SC, Robles CJ, Sarue SN
Early severe acute pancreatitis post-endoscopic retrograde cholangiopancreatography (ERCP). A case presentation
Rev Mex Cir Endoscop 2009; 10 (1)

Language: Español
References: 30
Page: 40-44
PDF: 104.75 Kb.

[Full text - PDF]


Background: The endoscopic retrograde cholangiopancreatography has a low complication rate. Of the most feared complications is pancreatitis which is present in 1.8-9% of the cases. Various risk factors have been identified, among them: young age, female gender, and possible sphincter of Oddi dysfunction. The pathogenesis is unknown, but some believe it is due to the inflammation of the sphincter of Oddi complex. The use of an endoprosthesis in the pancreatic duct has been shown to reduce the risk of this complication.
Case report: 58 year old female with intermittent postprandial abdominal pain in the right hypochondrium which irradiated to the lumbar region. She had presented mild elevations of her liver enzymes associated with the pain. Upon admission a Magnetic resonance cholangiopancreatography showed an 11 mm common bile duct which ended in a stenotic zone, it was interpreted as possible sphincter of Oddi dysfunction. An ERCP was performed after which the patient presented multi organ failure and cardiac arrest.
Discussion: It is important to identify patients with risk factors for post ERCP pancreatitis. In this way preventive measures may be taken to diminish the incidence of this complication.

Key words: Pancreatitis, endoscopic retrograde cholangiopancreatography.

>Journals >Revista Mexicana de Cirugía Endoscópica >Year 2009, Issue 1
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