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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report

Authors: Boris L Kanen, Ruud JLF Loffeld

Published in: Journal of Medical Case Reports | Issue 1/2008

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Abstract

Introduction

Endoscopic retrograde cholangiopancreaticography has been the treatment of choice for stones in the common bile duct. Although the procedure is usually safe, procedure-related complications do occur.

Case presentation

A case of pancreatitis following endoscopic retrograde cholangiopancreaticography is described in a 55-year-old woman. After an uneventful recovery the patient's condition deteriorated rapidly 16 days after the endoscopic retrograde cholangiopancreaticography, and the patient died within 1 hour. Post-mortem examination revealed massive intrapulmonary fat embolism. The complications of endoscopic retrograde cholangiopancreaticography and pancreatitis are described.

Conclusion

Fat embolism can occur after the remission of pancreatitis and pancreatic necrosis may be overlooked on contrast-enhanced computed tomography scanning.
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Metadata
Title
Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report
Authors
Boris L Kanen
Ruud JLF Loffeld
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-215

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