“…This is usually characterized by abdominal pain, nausea, fever, and elevated transaminases that occur 24-72 hours after the procedure [ 6 , 7 ]. However, more serious complications such as acute liver decompensation (encephalopathy, ascites) can occur [ 5 , 8 , 9 ]. PES has been defined as a clinical diagnosis by some, and thus they do not report specific liver function enzymes [ 5 , 8 ].…”