Abstract
Duodenum perforation during endoscopic retrograde cholangiopancreatography is a rare but life threatening complication. Pneumoperitoneum with pneumothorax, pneumomediastinum and cervical subcutaneous emphysema after endoscopic retrograde cholangiopancreatography is extremely rare and is limited to a few cases in the literature. A patient in whom a perforation occurred in the retroperitoneal duodenum during endoscopic retrograde cholangiopancreatography and pnemoperitoneum, pneumothorax, pneumomediastinum and cervical emphysema formed afterwards is presented and the literature is reviewed in this study.
Keywords:
Endoscopic retrograde cholangiopancreatography, duodenal perforation.
References
1
Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc, 1991; 37: 383-393.
2
Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med, 1996; 335: 909-918.
3
Martin DF, Tweedle DE. Retroperitoneal perforation during ERCP and endoscopic sphincterotomy: causes, clinical features and management. Endoscopy, 1990; 22: 174-175.
4
Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg, 2000; 232: 191-198.
5
Preetha M, Chung Y, Chan W, et al. Surgical management of endoscopic retrograde cholangiopancreatography- related perforations. ANZ J Surg, 2003; 73: 1011-1014.
6
Aydin M, Kisli E, Ozgoren E, et al. Mediastinal and retro-orbital emphysema following an uncomplicated endoscopic sphincterotomy. Indian J Surg, 2005; 67: 147-149.
7
Gya D, Sali AQ, Angus D. Subcutaneous emphysema and pneumothorax following endoscopic sphincterotomy. ANZ J Surg, 1989; 59: 900-902.
8
Ciaccia D, Branch MS, Baillie J. Pneumomediastinum after endoscopic spincterotomy. Am J Gastroenterol, 1995; 90: 475-477.
9
Bell RC, Van Stiegmann G, Goff J, et al. Decision for surgical management of perforation following endoscopic sphincterotomy. Am Surg, 1991; 57: 237-240.
10
Chung RS, Sivak MV, Ferguson DR. Surgical decisions in the management of duodenal perforation complicating endoscopic sphincterotomy. Am J Surg, 1993; 165: 700-703.
11
Scarlett PY, Falk GL. The management of perforation of the duodenum following endoscopic sphincterotomy: a proposal for selective therapy. ANZ J Surg, 1994; 64: 843-846.
12
Howard TJ, Tan T, Lehman GA, et al. Classification and management of perforations complicating endoscopic sphincterotomy. Surgery, 1999; 126: 658-665.
13
Kayhan B, Akdogan M, Sahin B. ERCP subsequent to retroperitoneal perforation caused by endoscopic sphincterotomy. Gastrointest Endosc, 2004; 60: 833-835.
14
Golash V, Wilson PD. Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1,320 patients. Surg Endosc, 2005;19:882-885.
