Related Experiment Video
Updated: Jul 22, 2025
03:42
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
582
Acute Pancreatitis following Percutaneous Electrohydraulic Lithotripsy
Asad Malik1, Kent T Sato1, Ahsun Riaz1
1Division of Interventional Radiology, Department of Radiology, Northwestern University, Chicago, Illinois.
Seminars in Interventional Radiology
|July 24, 2023
Summary
Percutaneous electrohydraulic lithotripsy with cystic duct stenting is an alternative gallbladder decompression method. This report details a rare case of acute pancreatitis following this interventional radiology procedure.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Surgical Innovation
Background:
- Cholecystectomy is the standard treatment for acute calculous cholecystitis.
- Percutaneous or endoscopic gallbladder decompression is used for non-surgical candidates.
- Management of patients unsuitable for surgery post-cholecystitis resolution is critical.
Purpose of the Study:
- To report a rare complication of acute pancreatitis following percutaneous electrohydraulic lithotripsy and cystic duct stenting.
- To highlight the importance of understanding potential risks associated with innovative interventional radiology procedures for gallbladder management.
Main Methods:
- Review of a case involving acute calculous cholecystitis.
- Description of percutaneous electrohydraulic lithotripsy and cystic duct stenting performed by interventional radiology.
- Analysis of the subsequent development of acute pancreatitis.
Main Results:
- A rare case of acute pancreatitis occurred post-procedure.
- This complication arose despite the antegrade approach used by interventional radiology.
Conclusions:
- Acute pancreatitis is a rare but possible complication following percutaneous interventions involving the biliary and cystic ducts.
- Further investigation into the mechanisms and prevention of this complication is warranted.
Related Concept Videos
01:30Acute Pancreatitis II: Clinical Manifestations and Management
150
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
150
01:27Acute Pancreatitis I: Introduction
408
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
408
01:24Chronic Pancreatitis I: Introduction
116
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
116
01:26Endoscopic Procedures V: ERCP
401
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
401
01:25Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
01:29Chronic Pancreatitis II: Collaborative Care
115
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
115