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

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

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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 3d 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.

Endoscopic sphincterotomySevere cholangitisBarium examinationSphincter of Oddi

Zhen-Hai Zhang、Ya-Guang Wu、Cheng-Kun Qin、Zhong-Xue Su、Jian Xu、Guo-Zhe Xian、Shuo-DongWu

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Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shangdong University, Jinan 250021, Shandong Province, China

the Second Department of General Surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110004, Liaoning

the Second Department of General Surgery, the Second Affiliated Hospital of China Medical University, Shenyang 110004, Liaoning Province, China

2012

10.3748/wjg.v18.i39.5658

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(39)
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