Multiple choledocholithiasis acute cholangitis in a patient with COVID-19 treated by endoscopic retrograde cholangiopancreatography
Keywords:
choledocholithiasis, endoscopic retrograde cholangiopancreatography, bile duct exploration, common bile duct stones, Peru.Abstract
Introduction: Choledocholithiasis is a disease in which the common bile duct is occupied by stones. Endoscopic retrograde cholangiopancreatography plays an important role in the treatment where the normal passage of bile is restored.Objective: To present a patient with COVID-19 and acute cholangitis due to multiple choledocholithiasis, who underwent endoscopic retrograde cholangiopancreatography.
Clinical case: A 58-year-old woman, with a history of gallbladder stones, who was admitted in a state of septic shock due to possible acute cholangitis and mild respiratory symptoms, with a positive test for COVID-19. Choledocholithiasis was diagnosed by abdominal ultrasound and endoscopic retrograde cholangiopancreatography was performed, showing multiple stones in the common bile duct. Successful drainage of the main bile duct was achieved, without complications and favorable evolution.
Conclusion: The treatment performed was a good option, in the clinical context, of a patient with COVID-19 and acute cholangitis due to common bile duct stones.
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References
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2. Pinilla Morales RE, Montoya J, Oliveros Wilches R, Manrique Acevedo ME, Rey Ferro M, Abadía Díaz M, et al. Colangiopancreatografía retrógrada endoscópica en una institución de referencia en cáncer. Rev Colomb Gastroenterol. 2020 [acceso: 15/04/2022]; 35(4):430-5. Disponible en: https://revistagastrocol.com/index.php/rcg/article/view/512
3. McCune WS, Shorb PE, Moscovitz H. Endoscopic Cannulation of the Ampulla of Vater: A Preliminary Report. Ann Surg. 1968 [acceso: 15/04/2022]; 167(5):752-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1387128/
4. Classen M, Demling L. Endoskopische Sphinkterotomie der Papilla Vateri und Steinextraktion aus dem Ductus choledochus. DMW - Dtsch Med Wochenschr. 1974 [acceso: 15/04/2022]; 99(11):496-7. Disponible en: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0028-1107790
5. Kawai K, Akasaka Y, Murakami K, Tada M, Kohli Y, Nakajima M. Endoscopic sphincterotomy of the ampulla of Vater. Gastrointest Endosc. 1974 [acceso: 15/04/2022]; 20(4):148-51. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0016-5107(74)73914-1
6. Lou Q, Sun J, Zhang X, Shen H. Successful Therapeutic ERCP in a 99-Day-Old Child with Common Bile Duct Stones: A Case Report and Discussions on the Particularities of the ERCP in Children. Front Pediatr. 2020 [acceso: 15/04/2022]; 8:435. Disponible en: https://www.frontiersin.org/articles/10.3389/fped.2020.00435/full
7. Tepox-Padrón A, Romano-Munive F, Ramírez-Polo AI, Téllez-Ávila FI. Three case reports of impacted biliary stone extraction basket. Rev Gastroenterol Mex. 2020 [acceso: 15/04/2022]; 85(2):222-4. Disponible en: http://www.revistagastroenterologiamexico.org/en-three-case-reports-impacted-biliary-articulo-S2255534X20300074
8. He YG, Gao MF, Li J, Peng XH, Tang YC, Huang XB, et al. Cystic duct dilation through endoscopic retrograde cholangiopancreatography for treatment of gallstones and choledocholithiasis: Six case reports and review of literature. World J Clin Cases. 2021 [acceso: 15/04/2022]; 9(3):736-47. Disponible en: https://www.wjgnet.com/2307-8960/full/v9/i3/736.htm
9. Peters X, Gannavarapu B, Gangemi A. A case report of choledocholithiasis 33 years after cholecystectomy. Int J Surg Case Rep. 2017 [acceso: 15/04/2022]; 41:80-82. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645002/
10. Prieto-Ortiz RG, Duarte-Osorio AI, García-Echeverri P, Ballén-Párraga H. Treatment of choledocholithiasis by ERCP, and instrumentation through a T-tube. Rev Col Gastroenterol. 2020; 35(3):382-9. DOI: 10.22516/25007440.385
11. Johnson KD, Perisetti A, Tharian B, Thandassery R, Jamidar P, Goyal H, et al. Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies: A "Scoping" Literature Review. Dig Dis Sci. 2020; 65(2):361-75. DOI: 10.1007/s10620-019-05970-3
12. Sommariva C, Lauro A, Pagano N, Vaccari S, D'Andrea V, Marino IR, et al. Subcapsular Hepatic Hematoma Post-ERCP: Case Report and Review of the Literature. Dig Dis Sci. 2019; 64(8):2114-19. DOI: 10.1007/s10620-019-05679-3
13. Schachera FC, Giongoa SM, Teixeiraa FJP, Mattos AZ. Endoscopic retrograde cholangiopancreatography versus surgery for choledocholithiasis - A meta-analysis. Ann Hepatol. 2019; 18(4):595-600. DOI: 10.1016/j.aohep.2019.01.010
14. Barreda Cevasco L, Targarona Modena J, Marcos Enriquez JC, Arroyo Basto C, Morón E. Conociendo una complicación poco frecuente de la colangiopancreatografía retrógrada endoscópica. Rev Gastroenterol Peru. 2017 [acceso: 15/04/2022]; 37(1):39-46. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292017000100007
15. Bahena-Aponte JA, Ramírez de Aguilar G, Torres Carrillo JC, Espino Urbina L, Sánchez González JA. Ruptura hepática espontánea en paciente con antecedente de coledocolitiasis resuelta por colangiopancreatografia retrograda endoscópica. Rev Gastroenterol Peru. 2016 [acceso: 15/04/2022]; 36(3):249-51. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292016000300009
16. Prochazka Zarate R, Albán Bravo Paredes E, Zegarra Chang A, Corzo Maldonado CD, Delgado Zapata B. Caracterización clínico-radiológica y exploración de asociación entre el éxito terapéutico y edad en pacientes sometidos a pancreatocolangiografía retrógrada endoscópica en un hospital de tercer nivel de los años 2008 al 2014 en Lima-Perú. Rev Gastroenterol Peru. 2015 [acceso: 15/04/2022]; 35(2):151-8. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1022-51292015000200005&script=sci_abstract
17. Kreve F, Takada J, Gatto J, Loss FS, Artifon ELA. Laparoendoscopic rendez-vous: a safe alternative to the treatment of choledocholithiasis. Rev Gastroenterol Peru. 2017 [acceso: 15/04/2022]; 37(2):165-8. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1022-51292017000200010&script=sci_abstract&tlng=en
Published
2023-03-25
How to Cite
1.
Moya-Salazar J, Porras-Guillermo J, Porras-Guillermo R, Guevara-Rojas T. Multiple choledocholithiasis acute cholangitis in a patient with COVID-19 treated by endoscopic retrograde cholangiopancreatography. Rev Cubana Med Milit [Internet]. 2023 Mar. 25 [cited 2025 Mar. 14];52(2):e02302326. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2326
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