Conservative therapy in an ERCP-induced abdominal abscess.
We describe a 30 year-old man who presented with an abdominal abscess as an unusual complication of endoscopic retrograde cholangiopancreatography with papillotomy. His presenting symptom was recurrent vomiting, while fever, abdominal pain, and leukocytosis were not significant. The abscess was observed with repeated computerized tomographic scans and completely regressed with intravenous antibiotic treatment over a three week period, leading to complete remission.
Cohen
S E
SE
The Division of Medicine, Hadassah University Hospital, Jerusalem, Israel.
Ligumsky
M
M
Bar-Ziv
J
J
Safadi
R
R
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D000328:Adult; D000667:Ampicillin / Q000008:administration & dosage / Q000627:therapeutic use*; D001398:Aztreonam / Q000008:administration & dosage / Q000627:therapeutic use*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D008795:Metronidazole; D000667:Ampicillin; D001398:Aztreonam