scholarly journals Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography: A Rare Complication

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Fotios Sampaziotis ◽  
Alan Wiles ◽  
Syed Shaukat ◽  
Richard J. Dickinson
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Pancreatic Disease ◽  
Therapeutic Modality ◽  
Duodenal Perforation ◽  
Chest Drain ◽  
Bilateral Pneumothorax ◽  
Endoscopic Retrograde ◽  
Quick Recovery

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a widely used diagnostic and therapeutic modality in the management of biliary and pancreatic disease. Some of the complications of the procedure, although rare, may carry significant morbidity and mortality risks. We describe the case of a 68-year-old female who underwent elective ERCP for ductal stone clearance. Immediately postprocedure, the patient developed subcutaneous emphysema and bilateral pneumothoraces. Further imaging revealed the presence of free intra-abdominal air. The patient made a very quick recovery after bilateral chest drain insertion and no further intervention was required. We propose that pneumothorax, pneumomediastinum, and subcutaneous emphysema during ERCP, in the absence of duodenal perforation may be explained by leakage of air from a site of low resistance such as the sphincterotomy site, or as a result of copious Valsalva manoeuvres performed by a patient tolerating the procedure poorly.

scholarly journals ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum

2018 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Mohammad Saud Khan ◽  
Faisal Jamal ◽  
Zubair Khan ◽  
Abhinav Tiwari ◽  
Hermann Simo ◽  
...  
Keyword(s):  
Supportive Care ◽  
Male Patient ◽  
Subcutaneous Emphysema ◽  
Duodenal Perforation ◽  
Close Monitoring ◽  
Air Leak ◽  
Endoscopic Retrograde ◽  
Scrotal Pain ◽  
Life Threatening ◽  
Life Threatening Complication

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care.

scholarly journals Splenic Hematoma as a Rare Complication of Endoscopic Retrograde Cholangiopancreatography

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Kulvinder S Bajwa ◽  
Anirudh K Madabhushi ◽  
Nadim Jafri ◽  
Shinil K Shah ◽  
Melissa M Felinski
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Endoscopic Retrograde ◽  
Splenic Hematoma

Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis

2021 ◽  
Vol 14 (11) ◽  
pp. e247304
Author(s):  
Maninder Kaur ◽  
Harsimran Bhatia ◽  
Gaurav Muktesh ◽  
Pankaj Gupta
Keyword(s):  
Hepatic Artery ◽  
Liver Abscess ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Gallstone Disease ◽  
Biliary System ◽  
Endoscopic Retrograde ◽  
Spontaneous Thrombosis ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

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.

Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography. A rare complication with high morbidity and mortality

2019 ◽  
Vol 42 (1) ◽  
pp. 23-27
Author(s):  
Jon de la Maza Ortiz ◽  
Seila García Mulas ◽  
Juan Carlos Ávila Alegría ◽  
Javier García Lledó ◽  
Leticia Pérez Carazo ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
Hepatic Haematoma
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