Severe acute cholangitis after endoscopic sphincterotomy induced by barium examination: A case report.

Abstract

Endoscopic sphincterotomy (EST) is considered as a possible etiological factor for severe cholangitis. We herein report a case of severe cholangitis after endoscopic sphincterotomy induced by barium examination. An adult male patient presented with epigastric pain was diagnosed as having choledocholithiasis by ultrasonography. EST was performed and the stone was completely cleaned. Barium examination was done 3 d after EST and severe cholangitis appeared 4 h later. The patient was recovered after treated with tienam for 4 d. Barium examination may induce severe cholangitis in patients after EST, although rare, barium examination should be chosen cautiously. Cautions should be also used when EST is performed in patients younger than 50 years to avoid the damage to the sphincter of Oddi.

• Authors: Zhen-Hai Zhang, Ya-Guang Wu, Cheng-Kun Qin, Zhong-Xue Su, Jian Xu, Guo-Zhe Xian, Shuo-Dong Wu
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 18 Issue 39 Pg. 5658-60 (Oct 21 2012) ISSN: 2219-2840 [Electronic] United States
• PMID: 23112564 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents
• Drug Combinations
• Protease Inhibitors
• Cilastatin
• Barium
• Imipenem
• Cilastatin, Imipenem Drug Combination

Topics

• Adult
• Anti-Bacterial Agents (therapeutic use)
• Barium (adverse effects)
• Cholangitis (drug therapy, etiology)
• Choledocholithiasis (surgery)
• Cilastatin (therapeutic use)
• Cilastatin, Imipenem Drug Combination
• Drug Combinations
• Humans
• Imipenem (therapeutic use)
• Male
• Protease Inhibitors (therapeutic use)
• Sphincterotomy, Endoscopic (adverse effects)