Common Bile Duct Stones\ERCP\PEP\Death

Both cases involved ERCP for common bile duct stones, and both patients died after the procedure. Both patients were independent in daily activities before ERCP, with no abdominal pain, fever, or jaundice. The first patient had a urinary amylase level of 1769 on the third day after ERCP. On the eighth day after ERCP, the patient underwent exploratory laparotomy plus pancreaticoduodenectomy. The patient died 41 days after the ERCP. The second patient had serum and urinary amylase levels of 545 and 6522, respectively, on the second day after ERCP. The patient died 24 days after the ERCP. In its written response to the family’s complaint, the hospital offered a certain amount of financial compensation and stated that it could not rule out the possibility of bleeding from a Meckel’s diverticulum.