Ceftriaxone-associated pancreatitis captured on serial computed tomography scans

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

doi:10.1016/j.radcr.2017.10.022

Ceftriaxone-associated pancreatitis captured on serial computed tomography scans

Radiol Case Rep. 2017 Dec 2;13(1):43-46. doi: 10.1016/j.radcr.2017.10.022. eCollection 2018 Feb.

Authors

Nozomu Nakagawa¹, Nobuaki Ochi¹, Hiromichi Yamane¹, Yoshihiro Honda¹, Yasunari Nagasaki¹, Noriyo Urata², Hidekazu Nakanishi¹, Hirofumi Kawamoto², Nagio Takigawa¹

Affiliations

¹ Department of General Internal Medicine 4, Kawasaki Medical School, 2-6-1, Nakasange, Kita-ku, Okayama 700-8505, Japan.
² Department of General Internal Medicine 2, Kawasaki Medical School, Okayama, Japan.

Abstract

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.

Keywords: Ceftriaxone; Computed tomography; Pancreatitis; Pseudolithiasis.

Publication types

Case Reports