ERCP caused death

ERCP

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Gastroenterology - General



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Question Posted By: debbrown on Tuesday, June 25, 2002


I have so many questions and don't know where to start.

Last month, my mother went into the hospital for an ERCP which was to look for Gallstones and then 2 days later to do the gallstone operation.

The ERCP was performed at 5:00pm on May/20, by 8:15, she was violently vomitting bilous green fluid with pain and distended abdomen. By Tuesday am, she was in severe pain and further distension of abdomen. On Wednesday, they performed scheduled gallstone operation to find ischemiac bowel and pancreatitis. Condition further detoriated and laparotomy was again done during which subtotal colectomy was done in addl to removel of the terminal ileum. Further detoriation until 3 days after inital ERCP, death occurred.

Damage done:

- Lungs - severe congestion and oedema
- Liver - coated by acute inflammatory exudate
- Thryoid - severe lymphocytic infiltration
- Spleen - severe congestion
- Pancreas - extensive haemorrhagic infraction both the surface and substance of the organ. A number of thrombooccluded vessels
- Omentum - patchy areas of haemorrhagic necrosis
- Gallbladder - sections show extensive necrosis of the mucosal folds. Severe Haemorrhagic infraction and necrosis extending to the surface.
- Stomach / Intestines / Urinary bladder - show haemorrhagic infarction with moderate congesion

Could acute pancreatitis do this much damage in 2 days; if not, what could?
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