scholarly journals Life threatening hemobilia after endoscopic retrograde cholangiopancreatography (ERCP)

2017 ◽  
Vol 49 (12) ◽  
pp. 1336-1337 ◽  
Author(s):  
Ihab I. El Hajj ◽  
Stuart Sherman ◽  
Maximilian Pyko ◽  
Glen A. Lehman
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Retrograde ◽  
Life Threatening

scholarly journals An unusual experience with endoscopic retrograde cholangiopancreatography

2013 ◽  
Vol 04 (04) ◽  
pp. 114-116 ◽  
Author(s):  
Mallikarjun Patil ◽  
Keyur A. Sheth ◽  
C. K. Adarsh ◽  
B. Girisha
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Guide Wire ◽  
Rare Complication ◽  
Endoscopic Retrograde ◽  
Endoscopic Procedures ◽  
Hepatic Hematoma ◽  
Hemorrhagic Complications ◽  
Life Threatening ◽  
Therapeutic Utility

AbstractThe endoscopic retrograde cholangiopancreatography (ERCP) is known for its varied diagnostic and therapeutic utility for a variety of disorders. However it has greater likelihood of procedure related complications among the endoscopic procedures of gastrointestinal tract. The extraluminal hemorrhagic complications following ERCP are potentially life threatening though relatively rare. We present a 50 year patient with choledocholithiasis and cholelithiasis developing rare complication of subcapsular hepatic hematoma, following ERCP due to guide wire injury.

scholarly journals Endoscopic Retrograde Cholangiopancreatography Scope‑induced Duodenojejunal Flexure Perforation: The World’s First Case

2017 ◽  
Vol 08 (03) ◽  
pp. 145-147
Author(s):  
Jignesh A. Gandhi ◽  
Pravin H. Shinde ◽  
Basavaraj K. Nagur ◽  
Rohan D. Digarse
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Primary Closure ◽  
Early Recognition ◽  
Emergency Laparotomy ◽  
Significant Morbidity ◽  
Endoscopic Retrograde ◽  
The Third ◽  
First Case ◽  
Duodenojejunal Flexure ◽  
Life Threatening

ABSTRACTDuodenojejunal (DJ) flexure perforation is very rare. DJ flexure perforation following endoscopic retrograde cholangiopancreatography (ERCP) has not be documented till date. They are associated with significant morbidity and mortality. We present an ERCP‑induced DJ flexure perforation which has been treated with primary closure in two layers at our institution. To the best of our knowledge, this is the world’s first case. Such site of ERCP‑induced perforation has not been reported in literature till date. A 75‑year‑old female patient underwent repeated ERCP for obstructive jaundice. There was perforation during the third ERCP while removing the larger stone. Emergency laparotomy was performed with primary closure of perforation in two layers. ERCP‑induced DJ flexure perforation has not yet been documented. It is potentially life‑threatening. Early recognition may lead to a better prognosis through earlier intervention.

scholarly journals Role of Endoscopic Retrograde Cholangiopancreatography in the Diagnosis of Choledocholithiasis

2016 ◽  
Vol 15 (4) ◽  
pp. 48-52
Author(s):  
Jolanta Borgosz ◽  
Bogusława Kupczak-Wiśniowska ◽  
Beata Podsiadło ◽  
Bogusława Serzysko
Keyword(s):  
Literature Review ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Potential Risk ◽  
Bile Ducts ◽  
Diagnostic Method ◽  
Clinical Symptoms ◽  
Reference Method ◽  
Endoscopic Retrograde ◽  
Life Threatening

Abstract Introduction. Retrograde cholangiopancreatography (ERCP) is a validated reference method for detection and treatment of choledocholithiasis. It can be performed at any stage of treatment. It allows for differentiation of bile retention causes, assessment of the level of bile ducts dilation, location of the obstruction level and establishment of recommendations for invasive bile ducts tests. Despite varied course of choledocholithiasis, swift detection and removal of stones from bile ducts should be striven for due to a potential risk of life-threatening complications.Aim. The aim of the study was to evaluate the diagnostic effectiveness of the retrograde cholangiopancreatography in patients with suspected bile ducts choledocholithiasis.Material and methods. Based on the literature review, the retrograde cholangiopancreatography in the diagnostics of bile ducts choledocholithiasis has been evaluated. Identification of choledocholithiasis, regardless of clinical symptoms, is associated with the decision to remove deposits from bile ducts. ERCP is the method of choice.Conclusions. As studies by numerous authors show, cholelithiasis can be the leading cause of cholangitis and pancreatitis. Diagnostic ERCP with evacuation deposits remains the most recommended diagnostic method in such cases.

scholarly journals Etiologies and risks of splenic decapsulation after endoscopic retrograde cholangiopancreatography: case report and literature review

2018 ◽  
Vol 06 (03) ◽  
pp. E271-E273 ◽  
Author(s):  
Vijeta Pamudurthy ◽  
Raju Abraham ◽  
Thomas Betlej ◽  
Ashish Shah ◽  
Dong Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Severe Pain ◽  
Splenic Injury ◽  
Interventional Procedure ◽  
Endoscopic Retrograde ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
High Index Of Suspicion

Abstract Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive diagnostic and interventional procedure used in conditions related to the pancreas and biliary tract. It has a complication rate ranging from 4 % to 10 %. Severe complications are few with the most common of them being post-ERCP pancreatitis, post-sphincterotomy bleeding, and perforation. A rare, but potentially life-threatening complication of ERCP is splenic injury. We report the case of a 60-year-old female with choledocholithiasis who sustained splenic decapsulation following ERCP. The exact causes of splenic injury are unknown, although several mechanisms are postulated. A literature review of splenic injuries post-ERCP shows that there are only 3 cases with post-ERCP splenic decapsulation. Our patient is the first one in whom splenic decapsulation occurred without any risk factors or technical difficulties during the procedure. A high index of suspicion for splenic injury is required in any patient who has severe pain, anemia, or hemorrhagic shock after ERCP.

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