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عنوان فارسی Pancreatitis after Endoscopic Retrograde Cholangiopancreatography in a Patient with Normal Serum Amylase Level: A Case Report
چکیده فارسی مقاله Endoscopic retrograde cholangiopancreatography (ERCP) can be mentioned as the most complex endoscopic procedure and is widely used for diagnosis and treatment of biliary and pancreatic diseases. Pancreatitis is the most common complication following ERCP, which may be life threatening. This article presents an old woman diagnosed as having post-ERCP pancreatitis without increasing in serum amylase level. A 69-year-old woman with a history of cholecystectomy a few years earlier, was presented with abdominal pain in epigastric region. Abdominal sonography revealed a dilated common bile duct [(CBD), 11 mm in diameter)] so MRCP (Magnetic Resonance Cholangiopancreatography) was performed for diagnosis. There were several stones in CBD, so the patient underwent therapeutic ERCP. Six hours after the procedure, she complained of severe abdominal pain in the right upper quadrant (RUQ) and tenderness. Serum amylase was 51 mg/dL. An abdominal computed tomography revealed pancreatitis. Pancreatitis is the most common complication after ERCP, which presents with abdominal pain in the RUQ and increase in serum amylase level more than 3 fold of normal upper limit. In this case, pancreatitis occurred without laboratory findings consistent with the diagnosis, which is not a common occurrence.
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عنوان انگلیسی Post-ERCP Pancreatitis With Normal Serum Amylase Level : A Case Report
چکیده انگلیسی مقاله Introduction: Endoscopic Retrograde Cholangiopancreatography (ERCP) could be mentioned as the most complex endoscopic procedure and is widely used for diagnosis and treatment of biliary and pancreatic disease. Pancreatitis is the most common complication following ERCP which may be life threatening. This article presents an old woman diagnosed as post-ERCP pancreatitis without increasing in serum amylase level. Case Presentation: A 69 years old woman with a history of cholecystectomy a few years ago, was presented with abdominal pain in epigastric region. Abdominal sonography revealed a dilated CBD (11 mm in diameter) so MRCP performed for diagnosis. There were several stones in CBD, so the patient underwent therapeutical ERCP. Six hours after the procedure, she complained of severe abdominal pain in RUQ and tenderness. Serum amylase was 51 mg/dL. An abdominal CT scan revealed pancreatitis. Discussion: Pancreatitis is the most common complication following ERCP which indicates with abdominal pain in RUQ and increasing in serum amylase level more than 3 fold of normal upper limit. In this case, pancreatitis occurred without laboratory findings consistent with the diagnosis which is not a common occurrence.
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نویسندگان مقاله | Ahmad Hormati
Assistant Professor of Gastroenterology, Gastroenterology and Hepatology Disease Research Center Qom University of Medical Sciences


| Seyyed Saeed Sarkeshikian
General Practitioner, Gastroenterology and Hepatology Disease Research Center Qom University of Medical Sciences


| Faezeh Alemi
Professor of Gastroenterology, Gastroenterology and Hepatology Disease Research Center Qom University of Medical Sciences


| Mohammad Reza Ghadir


نشانی اینترنتی http://govaresh.org/index.php/dd/article/view/1978
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/141/article-141-890813.pdf
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زبان مقاله منتشر شده fa
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نوع مقاله منتشر شده Case Report
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