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Related Experiment Videos

Emphysematous cholecystitis after ERCP

C Alvarez1, K Hunt, S W Ashley

  • 1Department of Surgery, UCLA School of Medicine 90024.

Digestive Diseases and Sciences
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

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Emphysematous cholecystitis, a rare condition, can lead to sepsis after endoscopic retrograde cholangiopancreatogram (ERCP). Prophylactic antibiotics and timely biliary decompression are crucial for high-risk patients.

Area of Science:

  • Gastroenterology
  • Infectious Disease

Background:

  • Emphysematous cholecystitis is a rare, severe form of acute cholecystitis.
  • It predominantly affects elderly, debilitated, or diabetic individuals.

Observation:

  • This case report details fulminant sepsis from acalculous cholecystitis post-ERCP in a previously healthy patient with suspected malignant obstructive jaundice.
  • Literature review identified three prior cases of acute cholecystitis following ERCP.

Findings:

  • ERCP can precipitate severe infectious complications like emphysematous cholecystitis, even in healthy individuals.
  • Prophylactic antibiotics may reduce infectious risks during ERCP, especially in patients with malignant obstruction or diabetes.

Implications:

Related Experiment Videos

  • Timely biliary decompression is essential when endoscopic methods fail.
  • Consideration of prophylactic antibiotics and prompt intervention can improve outcomes for patients undergoing ERCP.