A large impacted pancreatic duct stone causing acute cholangitis

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A large impacted pancreatic duct stone causing acute cholangitis.

causing acute cholangitis A 67-year-old woman with diabetes presented with persistent pain in the right upper quadrant radiating through to her back. Later, she developed a high fever and jaundice. On examination, her epigastrium was soft with mild tenderness but no signs of peritonitis. Abdominal ultrasonography showed a 1.3-cm round hyperechoic lesion with an acoustic shadow at the distal end...

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An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis

Obstructive jaundice is very rarely caused by impaction of a pancreatic stone in the papilla. We report here on a case of obstructive jaundice with acute cholangitis that was caused by an impacted pancreatic stone in the papilla in a patient with chronic pancreatitis. A 48-year-old man presented with acute obstructive cholangitis. Abdominal computed tomography with the reconstructed image revea...

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Worsening of Acute Cholangitis Caused by a Bile Duct Stone After Hospitalization: A Case Series

Acute cholangitis is a fatal condition if inadequately treated. It is possible to underestimate the severity of the condition because bacterial cultures are not immediately available. We evaluated the clinical features of patients with cholangitis due to bile duct stones who were diagnosed with severe bacteremia at the time of hospitalization, but not at the time of the initial visit. We conduc...

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Acute Obstructive Suppuration of the Pancreatic Duct Causing Sepsis

INTRODUCTION Pancreatic abscess, necrosis, and pseudocyst are wellknown entities that can complicate pancreatitis and lead to pancreatic sepsis (Sarr et al., 2013; Deeb et al., 2008). Acute obstructive suppurative cholangitis is a common clinical entity. However, pancreatic duct (PD) obstruction and acute suppuration of the pancreatic duct (ASPD) leading to sepsis, without a concurrent pancreat...

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Feasibility of initial endoscopic common bile duct stone removal in patients with acute cholangitis

AIM To investigate the feasibility of initial endoscopic common bile duct (CBD) stone removal in patients with acute cholangitis (AC). METHODS A single-center, retrospective study was conducted between April 2013 and December 2014 and was approved by the Medical Ethics Committee at our institution. Written informed consent was obtained from each patient prior to the procedure. The cohort comp...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2013

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0033-1344830