keywords: #Acute suppurative cholangitis, common bile duct, ERCP, cholangiogram, #stent.
A 38-year-old lactating woman presented with severe epigastric pain that is referred to the back was admitted to the endoscopy unit. Abdominal ultrasound revealed gall bladder stones, diagnosed 4 years ago and dilated CBD with a stone in its lumen. Laboratory investigations showed leukocytosis, white blood cell count 12.4 × 103, normal range (×103 ), international normalized ratio 1,32 (normal range 1-1.7 ), alanine aminotransferase 233, (normal up to 40 IU/L ), aspartate aminotransferase 398, (normal up to 40 IU/L ), lipase 40( normal below 60U/L ). The patient underwent endoscopic retrograde cholangiopancreatography. The scope revealed normally located papilla. Cannulation was done using an ERCP cannula, a cholangiogram revealed mildly dilated CBD. A wide sphincterotomy was done. The scope also showed an excessive amount of pus, whitish color coming out from the papilla denoting #acute suppurative
19 views
1057
309
3 weeks ago 00:08:10 1
AI Agents Will Create MILLIONAIRES in 2025 – Are You Ready
1 month ago 00:58:11 1
Mallorca Summer Mix ★ Deep House Sexy Girls Videomix 2021 ★ Best Party Music By ARD Mixes
1 month ago 00:10:38 1
Лучший для ОСЕНИ! От простуды пригодится всем! ОРЗ и ОРВИ можно лечить натуральным антибиотиком!
2 months ago 00:07:02 1
How to make a cute bag from a rectangular piece of cloth | Easy Sewing Tutorial
2 months ago 00:03:05 1
Rihanna - Satan Can’t Hold Me (This Is An AI Music Video)
2 months ago 00:00:26 4
A Cute video of Super Junior waiting on the lift
2 months ago 00:04:57 1
Best Crypto Wallet | Crypto Wallets for Beginners | Crypto Wallets
2 months ago 00:34:24 1
Mega OS Sierra is a Really Good Choice For Gamers and Professionals?
2 months ago 01:05:27 1
Amazin Mix ★ Deep House Sexy Girls Videomix 2021 ★ Best Party Music By ARD Mixes
2 months ago 00:45:05 1
Essential Deep Mix Collection ★ Deep House Sexy Girls Videomix 2024 ★ Best Party Music By ARD
2 months ago 00:51:15 1
Enjoy The Deep Beauty Without Limits ★ SK Austen ★ Top Cute Models 2024 ★ Deep House Mixed By A-R-D
2 months ago 01:04:25 1
The Best Of Vocal Deep House ★ Deep House Sexy Girls Videomix 2021 ★ Best Party Music By ARD Mixes
2 months ago 00:57:04 1
Europe House Deep Retro Mix ★ Deep House Sexy Girls Videomix 2022 ★ Best Party Music By ARD
2 months ago 00:16:44 26
Animated Character Overlay Effect in After Effects - After Effects Tutorial | Character Animation
2 months ago 00:49:07 1
Mallorca Sunset Hot Deep Women Mix ★ Deep House Sexy Girls Videomix 2023 ★ Best Party Music By ARD
2 months ago 00:01:22 1
🔥 Renew Supplement Review: Unlock Your Weight Loss Potential
2 months ago 00:17:49 1
Viktor Orban: Everyone will agree with me and not with your Left wing lies
2 months ago 00:22:50 1
Changing views
2 months ago 00:02:57 1
The 2025 Toyota Century - A New Era of Luxury and Innovation!
2 months ago 01:01:16 1
Simple and beautiful. How to Crochet tote bag with August craft & Crochet. Crochet net bag.
2 months ago 00:47:45 1
Journey To The Deep Musical Kingdom ★ SK Austen ★ Top Cute Models 2024 ★ Deep House Mixed By A-R-D
2 months ago 00:02:44 13
[K-POP IN PUBLIC | ONE TAKE] ILLIT - MAGNETIC cover dance by DRAFF
2 months ago 00:51:02 1
Ibiza New Retro Deep Mix ★ Deep House Sexy Girls Videomix 2022 ★ Best Party Music By ARD
2 months ago 00:15:06 2
ZDF & ARD BEZAHLEN Promis für AfD-Kritik – Unfassbar! 💥