Open AccessCrowned dens syndrome developed after an endoscopic retrograde cholangiopancreatography procedure
Author(s) -
Hirofumi Nakano,
Kazunari Nakahara,
Yosuke Michikawa,
Keigo Suetani,
Ryo Morita,
Nobuyuki Matsumoto,
Fumio Itoh
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i39.8849
Subject(s) - endoscopic retrograde cholangiopancreatography , medicine , neck pain , differential diagnosis , surgery , endoscopy , fever of unknown origin , pancreatitis , pathology , alternative medicine
We present a unique case of crowned dens syndrome (CDS) that developed after endoscopic retrograde cholangiopancreatography (ERCP) in a patient who presented with fever and neck pain. Administration of non-steroidal anti-inflammatory drugs was extremely effective for relieving fever and neck pain, and in the improvement of inflammatory markers. To the best of our knowledge, this is the first case report of CDS caused by an ERCP procedure. In a patient with fever and neck pain after an ERCP procedure, CDS should be considered in the differential diagnosis.