Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP.

Gastroenterology Research and Practice
L FujiiM E Harrison

Abstract

Complications related to endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, hemorrhage, cholangitis, and perforation. ERCP-related perforation is uncommon, but mortality rates are high. Diagnosis requires a high clinical suspicion for early detection to allow optimal management of the perforation and a better prognosis. Treatment depends on the location and mechanism and increasingly involves nonoperative management. We report a case of successful nonsurgical treatment of a patient with extensive air involving the peritoneum, retroperitoneum, thorax, mediastinum, and subcutaneous tissues following an ERCP perforation.

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Citations

Jul 19, 2013·Case Reports in Medicine·Kyriakos NeofytouSakis Loizou
Apr 3, 2012·Digestive Diseases and Sciences·Nicolien J Schepers, Henk R van Buuren
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Jason N Rogart
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Jan 25, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ding ShiYong Pan Liu
Jan 8, 2020·Therapeutic Advances in Gastrointestinal Endoscopy·Jamal Al-AsiryNoor Mohammed

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Methods Mentioned

BETA
biopsies
X-ray

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