A 48-year-old man undergoes ERCP and has two CBD stones extracted after sphincterotomy. Post-procedure, he develops right upper quadrant pain and feve...

Question

A 48-year-old man undergoes ERCP and has two CBD stones extracted after sphincterotomy. Post-procedure, he develops right upper quadrant pain and fever (38.8°C) with rigors. His WCC is 18 × 10⁹/L and bilirubin rises from 35 to 80 µmol/L. What is the most likely complication?

Accepted Answer

Post-sphincterotomy cholangitis

Answer

Sphincterotomy haemorrhage

Answer

Residual CBD stone

Answer

Bile duct perforation

Answer

Post-ERCP pancreatitis

uk-sce-gastroenterology MCQ (SBA): Post-ERCP Cholangitis

A 48-year-old man undergoes ERCP and has two CBD stones extracted after sphincterotomy. Post-procedure, he develops right upper quadrant pain and fever (38.8°C) with rigors. His WCC is 18 × 10⁹/L and bilirubin rises from 35 to 80 µmol/L. What is the most likely complication?