ACUTE PANCREATITIS IN A PACIENT WITH CHOLEDOCHOLITHIASIS TREATED BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY. CASE REPORT
Abstract:
Methods and material: We will discuss the case of a patient TA, 69 years old, with known
history of biliary colic, biliary lithiasis (ultrasonography), who underwent ERCP for
choledocholithiasis diagnosed. Anamnesis, clinical exam and laboratory investigations lead to the
diagnosis of acute pancreatitis. Results: The patient is assigned to surgery. Cloudy serosanguinous
fluid and pancreatic necrosis areas are found. The evolution is favorable with improved general and
biological state. The patient was discharged surgically healed. Conclusion: ERCP can be
complicated by pancreatitis, even in the hands of an experienced doctor. Severe acute necroticohemorrhagic
or supurative pancreatitis requires delayed emergency surgery, after complex patient
stabilization.
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