Concluded Case

Post ERCP Pain Abdomen

A female aged 44 years who is a k/c/o CBD stone underwent ERCP plus CBD stenting for cholangitis Chief Complaints Pain Abdomen (Epigastric) Vomiting Non passage of flatus (1 day after procedure) Physical Examination P/A - Mild distension (+) BS (sluggish)

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Concluded answer

? Post ERCP pancreatitis Adv serum amylase and lipase CT scan of abdomen and pelvis

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? Post ERCP pancreatitis Adv serum amylase and lipase CT scan of abdomen and pelvis

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Stent is displaced in rt hypochondrium Bowels are bloated and distended Peritonitis

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Post ERCP Pancreatitis Conservative management after confirming the diagnosis

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The abdomen is full of gas shadows.Stent seen in-situ.

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Post ERCP pancreatitis should be taken care of .Go for MRI . Surgical intervention may be required .

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Post ercp pancreatitis,check amylase/lipase

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