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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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Pneumoperitoneum, pneumoretroperitoneum and bilateral pneumothorax caused by ERCP
Abdullah Ozgonul1, Hasan Cece, Ozgur Sogut
1Department of General Surgery, Harran University, School of Medicine, Sanliurfa, Turkey.
JPMA. the Journal of the Pakistan Medical Association
|January 9, 2010
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) can rarely cause serious complications like duodenal perforation. This case highlights successful treatment of a patient with subcutaneous emphysema and pneumothorax following ERCP.
Area of Science:
- Gastroenterology
- Surgical Complications
- Medical Imaging
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is a key procedure for hepatobiliary and pancreatic diseases.
- Rare but severe complications can arise from ERCP, including pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum, subcutaneous emphysema, and pneumothorax.
Observation:
- A patient presented with acute abdominal symptoms.
- The patient developed subcutaneous emphysema and bilateral pneumothorax.
- These symptoms were attributed to duodenal perforation secondary to ERCP.
Findings:
- Duodenal perforation is a rare complication of ERCP.
- Subcutaneous emphysema and bilateral pneumothorax can be manifestations of duodenal perforation post-ERCP.
- The patient's condition was successfully managed.
Implications:
- Awareness of rare ERCP-related duodenal perforations is crucial for timely diagnosis.
- Prompt recognition and management of complications like pneumothorax and emphysema are vital for patient outcomes.
- This case contributes to the limited literature on managing ERCP-induced duodenal perforations.
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