Complications of ERCP | 合法醫療器材資訊網

由TMontrief著作—Themostcommonpost-ERCPcomplicationisacutepancreatitis,followedbygastrointestinalbleeding,viscousperforation,andbiliarytract ...

Authors: Tim Montrief, MD (@EMinMiami) and Nathan Boin, MD (University of Miami/Jackson Memorial Hospital Emergency Medicine Residency Program) // Edited by Alex Koyfman, MD (@EMHighAK) and Brit Long, MD (@long_brit)

Case: A 42-year-old woman with a history of obesity and alcohol abuse presents two days after an outpatient ERCP for choledocholithiasis. She complains of persistent vomiting which started the morning after her procedure, along with diffuse abdominal pain. Her heart rate is 104 beats per minute, but all other vital signs are normal. Her abdominal exam is notable for diffuse moderate tenderness with mild guarding but no evidence of peritoneal signs. What is on your differential for this patient? What are your next steps?

Over 700,000 endoscopic retrograde cholangiopancreatographies (ERCP) are performed annually in the U.S.1,2  Common indications...