Advanced Endoscopy Fellows Program | September 2024-Third Space and Bariatric Endoscopy Video Case Presentation

Third Space and Bariatric Endoscopy Video Case Presentation

Video Transcription

Video Summary

Dr. Peter Dragunov, a professor from the University of Florida, discussed a complex medical case involving ERCP (Endoscopic Retrograde Cholangiopancreatography) related to a 54-year-old female with symptoms like jaundice and fatigue. Lab results showed low sodium and high bilirubin, and a CT scan suggested a gallbladder mass, indicating potential gallbladder cancer obstructing the biliary tree. The anesthesia team initially refused to perform the ERCP due to the low sodium level, but Dr. Dragunov pointed out that the condition was pseudohyponatremia, an artifact of measurement due to high cholesterol. This case involved an anomalous pancreatobiliary junction, a rare condition associated with gallbladder cancer—a surgical intervention like cholecystectomy may be required. The presentation highlighted the importance of differentiating between true and pseudohyponatremia and the need for keen radiological interpretation by clinicians. Overall, Dr. Dragunov advocated for careful examination and personalized treatment plans for such rare conditions.

Asset Subtitle

Dr. Peter Draganov

Keywords

ERCP

pseudohyponatremia

gallbladder cancer

anomalous pancreatobiliary junction

personalized treatment

radiological interpretation