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  4. Case Report

Vol. 10 No. 1 (2022)

January 2022

Right Upper Quadrant Pain Following Endoscopic Retrograde Cholangiopancreatography; a Case Report

  • Lan Thi Nguyen
  • Dang Hai Do
  • An Duc Thai
  • Hoa Thi Nguyen

Archives of Academic Emergency Medicine, Vol. 10 No. 1 (2022), 1 January 2022 , Page e21
https://doi.org/10.22037/aaem.v10i1.1535 Published: 2022-03-16

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a standard for diagnosing and treating hepato-pancreatico-biliary (HPB) diseases in clinical settings. ERCP-related complications are relatively common, ranging from 4 to 30%. The most common one is acute pancreatitis. ERCP-related necrotizing pancreatitis accounts for 7.7% of ERCP-related pancreatitis cases. This complication may still be misdiagnosed, which might lead to inappropriate treatment with a worse prognosis. Here, we report a 34-year-old case with ERCP-related necrotizing pancreatitis who was successfully managed, but initially misdiagnosed with biliary peritonitis.

Keywords:
  • Pancreatitis, acute necrotizing
  • peritonitis
  • cholangiopancreatography
  • endoscopic retrograde
  • case reports
  • pdf

How to Cite

1.
Nguyen LT, Do DH, Thai AD, Nguyen HT. Right Upper Quadrant Pain Following Endoscopic Retrograde Cholangiopancreatography; a Case Report. Arch Acad Emerg Med [Internet]. 2022 Mar. 16 [cited 2026 Jul. 8];10(1):e21. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1535
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References

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Stapfer, M., et al., Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg, 2000. 232(2): p. 191-8.

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Sherman, S. and G.A. Lehman, ERCP- and endoscopic sphincterotomy-induced pancreatitis. Pancreas, 1991. 6(3): p. 350-67.

Sinha, A., et al., Systemic inflammatory response syndrome between 24 and 48 h after ERCP predicts prolonged length of stay in patients with post-ERCP pancreatitis: a retrospective study. Pancreatology, 2015. 15(2): p. 105-10.

Alfieri, S., et al., Management of duodeno-pancreato-biliary perforations after ERCP: outcomes from an Italian tertiary referral center. Surgical Endoscopy, 2013. 27(6): p. 2005-2012.

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