Summary
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.
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References
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Chan, C.K., Pace, R.F. Misdiagnosis using endoscopic retrograde cholangiopancreatography in a patient with postcholecystectomy pain. Surg Endosc 1, 179–180 (1987). https://doi.org/10.1007/BF00590928
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DOI: https://doi.org/10.1007/BF00590928