title: Pancreatic calculus impacted at Ampulla of Vater causing severe cholangitis and septic shock.
abstract: Patients with chronic pancreatitis may have varied complications including common bile duct stenosis, cholangitis, pseudocyst or fistula formation and secondary biliary cirrhosis. Common bile duct obstruction due to disimpaction of a pancreatic calculus into the ampulla of Vater leading to severe cholangitis and septic shock is a rare phenomenon. We are reporting such a case here.
authors.affiliation: Department of Gastroenterology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi - 110 060.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Jain
authors.forename: Mandhir
authors.initials: M
authors.lastname: Kumar
authors.forename: Anil
authors.initials: A
authors.lastname: Arora
mesh_terms: D000328:Adult; D014670:Ampulla of Vater; D002137:Calculi / Q000150:complications*; D002761:Cholangitis / Q000209:etiology*; D004927:Escherichia coli Infections / Q000209:etiology*; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications*; D012772:Shock, Septic / Q000209:etiology*