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Medline ® Abstract for Reference 164

of '内镜下逆行胰胆管造影(ERCP)的罕见并发症'

164
TI
Misdiagnosis using endoscopic retrograde cholangiopancreatography in a patient with postcholecystectomy pain.
AU
Chan CK, Pace RF
SO
Surg Endosc. 1987;1(3):179.
 
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.
AD
Department of Surgery, Queen's University, Kingston General Hospital, Ontario, Canada.
PMID