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Case Reports in Anesthesiology
Volume 2017 (2017), Article ID 7845358, 3 pages
Case Report

Ketamine Use for Successful Resolution of Post-ERCP Acute Pancreatitis Abdominal Pain

New York Medical College, Valhalla, NY, USA

Correspondence should be addressed to Garret Weber

Received 26 March 2017; Accepted 25 May 2017; Published 20 June 2017

Academic Editor: Alparslan Apan

Copyright © 2017 Suneel M. Agerwala et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case in which a patient with intractable pain secondary to post-endoscopic retrograde cholangiopancreatography (ERCP) acute pancreatitis is successfully treated with a subanesthetic ketamine infusion. Shortly after ERCP, the patient reported severe stabbing epigastric pain. She exhibited voluntary guarding and tenderness without distension. Amylase and lipase levels were elevated. Pain persisted for hours despite hydromorphone PCA, hydromorphone boluses, fentanyl boluses, and postprocedure anxiolytics. Pain management was consulted and a ketamine infusion was trialed, leading to a dramatic reduction in pain. This case suggests that ketamine may be a promising option in treating intractable pain associated with ERCP acute pancreatitis.