Misdiagnosis using endoscopic retrograde cholangiopancreatography in a patient with postcholecystectomy pain.
Endoscopic retrograde cholangiopancreatography (ERCP) has become an essential tool to investigate patients with the postcholecystectomy syndrome. A normal cholangiogram usually rules out the presence of biliary tract disease, and further investigations are directed towards other organ systems. We present a case in which a normal ERCP caused a significant delay in reassessing the biliary tree in a patient who eventually presented with choledocholithiasis. A repeat ERCP should be considered in patients with persistent biliary tract pain, even if the initial ERCP shows no abnormality.
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D042882:Gallstones / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000209:etiology*; D013997:Time Factors