EARLY ERCP FOR SHORTER HOSPITALIZATION IN ACUTE BILIARY PANCREATITIS -CASE REPORT
Keywords:
biliary pancreatitis, abdominal ultrasonography, endoscopic retrograde cholangiopancreatographyAbstract
Acute pancreatitis is a common disease that should always be considered when it comes to upper
abdominal pain. The incidence in the United States varies from 4.9 to 35 cases per 100,000 population. The most
common causes are choledocholithiasis, dyslipidemia and alcohol. Rapid diagnosis and treatment is required due to
the large number of complications it causes, as well as the possibility of a fatal outcome. Material and methods: 80-
year-old female patient, comes to the emergency department because of vomiting, jaundice. From the laboratory
analyses, it was seen that there are elevated markers of inflammation, elevated cholestatic parameters (bilirubin, the
direct fraction, gamma glutamyl transaminase and alkaline phosphatase) as well as elevated values of pancreatic
enzymes (amylase and lipase). From the performed ultrasound examination of the abdomen, cholelithiasis was seen,
with a dilated common bile duct, as well as a thickened wall of the gallbladder. In order to quickly remove the
cause, an endoscopic retrograde cholangiopancreatography was performed, during which a 15mm calculus was
extracted. Apart from the therapeutic ERCP, the patient received conservative therapy with saline solution,
antibiotics and analgesics. There was a decrease in the markers of inflammation, cholestasis and pancreatic
enzymes. The quick extraction of calculus from the common bile duct allowed the hospitalization time to be
shortened.
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