{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:09:06Z","timestamp":1767971346083,"version":"3.49.0"},"reference-count":17,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,2]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A woman in her 40s presented to hospital with cholangitis. A magnetic resonance cholangiopancreatography showed a moderately dilated common bile duct and mild intrahepatic duct dilatation with sludge. She underwent a successful endoscopic retrograde cholangiopancreatography (ERCP) and sphincteroplasty. She subsequently developed recurrence of fevers and abdominal pain with rising inflammatory markers. Initial investigations and imaging were unremarkable. A positron emission tomography scan demonstrated multiple fluorodeoxyglucose (FDG)-avid hepatic lesions, and subsequent imaging confirmed multifocal liver abscesses without a drainable collection. The patient was managed with intravenous co-amoxiclav initially before switching to oral antibiotics, however, represented 1\u2009week later with similar symptoms. Her antibiotic coverage was broadened to intravenous pipercillin-tazobactam, and she was discharged on this with follow-up in clinic. This case report highlights the rare complication of hepatic abscesses following ERCP and the importance of considering this as a differential in patients who present with sepsis following the procedure.<\/jats:p>","DOI":"10.1136\/bcr-2023-256578","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:40:46Z","timestamp":1702989646000},"page":"e256578","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Multifocal hepatic abscess post-ERCP"],"prefix":"10.1136","volume":"16","author":[{"given":"Samit","family":"Patel","sequence":"first","affiliation":[{"name":"General Medicine, Armadale Health Service, Armadale, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2879-5082","authenticated-orcid":false,"given":"Clea","family":"Southall","sequence":"additional","affiliation":[{"name":"General Medicine, Armadale Health Service, Armadale, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Varghese","sequence":"additional","affiliation":[{"name":"General Medicine, Armadale Health Service, Armadale, Western Australia, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"2025082622595240000_16.12.e256578.1","unstructured":"Valderrama AR , Chousleb S , Du L . Liver abscess after ERCP and laparoscopic cholecystectomy. A case report. SAGES abstract archives, SAGES. 2013. 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