医学
心脏压塞
内镜逆行胰胆管造影术
卫生棉条
并发症
支架
心包炎
外科
急诊科
放射科
心包液
胰腺炎
心包
精神科
作者
Kate Simeon,Angela Wright,Vaughn A. Browne
标识
DOI:10.1016/j.ajem.2022.10.007
摘要
In patients with biliary or pancreatic disease, endoscopic retrograde cholangiopancreatography (ERCP) is a common and important therapeutic and diagnostic procedure. Stent migration is a possible complication occurring in approximately 5-10% of cases. This case presents a 47-year-old male with chest pain and found to have biliary stent migration to the pericardial sac causing septic pericarditis and cardiac tamponade. Highlighting this devastating complication, this case demonstrates an opportunity for emergency physicians (EP) to diagnose and monitor patients for post-operative and post-procedural complications. In the emergency department, EPs are well positioned to use ultrasound as a diagnostic and monitoring tool for cardiac tamponade.
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