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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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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...
258
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
92
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

125
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...
125
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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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...
90

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Related Experiment Video

Updated: Jul 8, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Multifocal hepatic abscess post-ERCP.

Samit Patel1, Clea Southall2, Roy Varghese2

  • 1General Medicine, Armadale Health Service, Armadale, Western Australia, Australia samit.patel16@gmail.com.

BMJ Case Reports
|December 19, 2023
PubMed
Summary
This summary is machine-generated.

This case report details a rare complication of hepatic abscesses after endoscopic retrograde cholangiopancreatography (ERCP). It emphasizes considering liver abscesses in patients with sepsis post-ERCP.

Keywords:
Biliary interventionEndoscopyInfection (gastroenterology)

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Infectious Diseases

Background:

  • Cholangitis is a serious biliary tract infection.
  • Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure for biliary and pancreatic diseases.
  • ERCP can have complications, including infection.

Observation:

  • A woman in her 40s presented with cholangitis and underwent ERCP.
  • Post-ERCP, she developed recurrent fevers and abdominal pain.
  • Imaging revealed multifocal liver abscesses, a rare ERCP complication.

Findings:

  • Positron emission tomography (PET) scan identified multiple fluorodeoxyglucose (FDG)-avid hepatic lesions.
  • Initial antibiotic treatment was insufficient, requiring broader coverage.
  • The patient was treated with intravenous and oral antibiotics for liver abscesses.

Implications:

  • This case highlights hepatic abscesses as a rare but significant complication following ERCP.
  • Clinicians should consider liver abscesses in the differential diagnosis for sepsis after ERCP.
  • Prompt recognition and appropriate antibiotic management are crucial for favorable outcomes.