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. 2008 Jan;22(1):55–60. doi: 10.1155/2008/751950

TABLE 3.

Details of follow-up for seven cases in which the radiologist noted an abnormality not seen by the endoscopic retrograde cholangiopancreatography (ERCP) endoscopist

Case Sex Age, years Symptoms or signs at ERCP Findings ± therapy per endoscopy report Findings per radiology report Follow-up post-ERCP
1 Female 59
  • Abdominal pain

  • Abnormal LEs

  • Dilated CBD

  • Dilated CBD

  • Normal PD

  • Passed CBD stone*

  • Dilated CBD

  • PD stone*

  • No symptoms at 12 months

2 Male 67
  • Abnormal LEs

  • Normal CBD and intrahepatic ducts

  • Sclerosing cholangitis*

  • Normal LEs at 12 months

3 Female 56
  • Abdominal pain

  • Dilated CBD

  • Normal PD

  • Distal CBD stricture*

  • Abdominal pain unchanged at three months

4 Male 49
  • Hodgkin’s lymphoma with cholestasis on liver biopsy

  • Jaundice (bilirubin level >6× normal)

  • Normal CBD and intrahepatic ducts

  • CBD stone

  • No abdominal pain

  • Bilirubin level decreased to 1.5× normal

  • LEs 5× normal at 5 months

5 Female 72
  • Elevated isolated GGT (other LEs and bilirubin level normal)

  • History of ‘ampullary stenosis’ treated with sphincterotomy

  • Dilated CBD

  • Sphincterotomy extended

  • CBD stricture

  • GGT unchanged at three months

  • Other LEs and bilirubin level still normal

6 Female 45
  • Abdominal pain

  • Suspected SOD

  • Normal CBD

  • Normal PD

  • Normal SOM

  • Normal CBD

  • Normal PD

  • Abnormal right main hepatic duct*

  • No symptoms at one month

7 Female 25
  • Recurrent pancreatitis

  • Normal CBD

  • Normal PD

  • Abnormal biliary SOM

  • Biliary sphincterotomy performed

  • CBD stone

  • Acute pancreatitis at two months with normal LEs

  • Repeat ERCP at three months determined normal CBD with abnormal pancreatic SOM, and LE still normal

*

Inconsistent finding between endoscopy reports and radiology report. CBD Common bile duct; PD Main pancreatic duct; GGT Gamma-glutamyl transpeptidase; LEs Liver enzymes; SOD Sphincter of Oddi dysfunction; SOM Sphincter of Oddi manometry