Ceftriaxone-associated pancreatitis captured on serial computed tomography scans

• Main Authors: 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
• Format: Article
• Language: English
• Published: Elsevier 2018-02-01
• Series: Radiology Case Reports
• Subjects: Ceftriaxone; Pseudolithiasis; Pancreatitis; Computed tomography
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043317303801
• ISSN: 1930-0433

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.