Ceftriaxone-associated pancreatitis captured on serial computed tomography scans

Nozomu Nakagawa, MD; Nobuaki Ochi, MD, PhD; Hiromichi Yamane, MD, PhD; Yoshihiro Honda, MD, PhD; Yasunari Nagasaki, MD; Noriyo Urata, MD; Hidekazu Nakanishi, MD, PhD; Hirofumi Kawamoto, MD, PhD; Nagio Takigawa, MD, PhD

doi:10.1016/j.radcr.2017.10.022

Radiology Case Reports (Feb 2018)

Ceftriaxone-associated pancreatitis captured on serial computed tomography scans

Nozomu Nakagawa, MD,
Nobuaki Ochi, MD, PhD,
Hiromichi Yamane, MD, PhD,
Yoshihiro Honda, MD, PhD,
Yasunari Nagasaki, MD,
Noriyo Urata, MD,
Hidekazu Nakanishi, MD, PhD,
Hirofumi Kawamoto, MD, PhD,
Nagio Takigawa, MD, PhD

Affiliations

Nozomu Nakagawa, MD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Nobuaki Ochi, MD, PhD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Hiromichi Yamane, MD, PhD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Yoshihiro Honda, MD, PhD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Yasunari Nagasaki, MD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Noriyo Urata, MD: Department of General Internal Medicine 2, Kawasaki Medical School, Okayama, Japan
Hidekazu Nakanishi, MD, PhD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan
Hirofumi Kawamoto, MD, PhD: Department of General Internal Medicine 2, Kawasaki Medical School, Okayama, Japan
Nagio Takigawa, MD, PhD: Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan

DOI: https://doi.org/10.1016/j.radcr.2017.10.022
Journal volume & issue: Vol. 13, no. 1
pp. 43 – 46

Abstract

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A 74-year-old man was treated with ceftriaxone for 5 days and subsequently experienced epigastric pain. Computed tomography (CT) was performed 7 and 3 days before epigastralgia. Although the first CT image revealed no radiographic signs in his biliary system, the second CT image revealed dense radiopaque material in the gallbladder lumen. The third CT image, taken at symptom onset, showed high density in the common bile duct and enlargement of the pancreatic head. This is a very rare case of pseudolithiasis involving the common bile duct, as captured on a series of CT images.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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