A female with Post ERCP pain abdomen

A female aged 38 yrs Chief Complaints Developed pain abdomen post ERCP and CBD Stenting for CBD Stone and non passage of flatus Vitals BP - 160/90 mmHg PR - 112/min P/A - Distended, Tense, BS (-)

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ERCP induced Pancreatitis and paralytic ileus is the most likely possibility. An ultrasound of abdomen is indicated and if needed a CECT abdomen Treatment with NPO IV fluids Parenteral antibiotics RT SUCTION Correction of electrolytea and dehydration

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Perforated gall bladder misplaced stent as seen in cavity Yes ileus and dialated bowels Likely due to pancreatitis

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There is a lot of Ileus. 1)Post ERCP pancreatitis 2)Bowel perf 3)Biliary damage/leak? I would get a CT abdomen with contrast. Workup for pancreatitis. Decompress for relief (NG tube). evaluate with imaging and labs

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Ileus & perforated gall bladder pain & non passage of flatus

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DURING E R CP FOR CBD STONE MAY BE CBD IS INJURED CAUSING PAIN ABDOMEN AND NON PASSAGE OF FLATUS A KIND OF INTESTINAL OBSTRUCTION

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