01.06.2013 | letter to the editor
An uncommon cause of abdominal pain after endoscopic retrograde cholangiopancreatography
Erschienen in: Wiener klinische Wochenschrift | Ausgabe 11-12/2013
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A 50-year-old woman was admitted to another hospital with the complaints of intermittent right upper abdominal pain, jaundice, and chills in the last 10 years. Past medical history was significant for cholecystectomy and choledochoduodenostomy operations because of cholelithiasis and cystic dilation in the common bile duct 25 years ago. Physical examination revealed right upper abdominal tenderness. Laboratory parameters showed an increase in alanine aminotransferase: 401 U/L (reference range: 10–49), aspartate aminotransferase: 870 U/L (0–34), and gamma-glutamyl transpeptidase: 422 U/L (0–38) levels. Magnetic resonance cholangiography disclosed dilation in the intrahepatic bile ducts and cystic dilation in the common hepatic duct. The patient was referred to our hospital for endoscopic retrograde cholangiopancreatography (ERCP). …Anzeige