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Updated: Jun 13, 2026
07:27
Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
Published on: January 23, 2026
[Pneumoretroperitoneum and bilateral pneumothorax after endoscopic biliary sphincterotomy]
M Brueck1, D Bandorski, K Rauber
1Medizinische Klinik I, Klinikum Wetzlar, Akademisches Lehrkrankenhaus der Justus-Liebig-Universität Giessen. Martin.Brueck@hkw.med.uni-giessen.de
Deutsche Medizinische Wochenschrift (1946)
|April 22, 2010
Summary
Endoscopic biliary sphincterotomy can rarely cause pneumothorax, a serious complication. Prompt diagnosis and management, including chest drainage, led to a full recovery in this case.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Pulmonology
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) with biliary sphincterotomy is a common procedure for bile duct stones.
- Complications, though rare, require prompt recognition and management.
Observation:
- A patient developed subcutaneous emphysema, shortness of breath, and bilateral pneumothorax post-sphincterotomy.
- Computed tomography confirmed extensive air collection including pneumomediastinum and pneumoperitoneum without contrast leak.
Findings:
- Intercostal drain placement for pneumothorax and antibiotics were initiated due to respiratory distress.
- Follow-up imaging demonstrated resolution of air collections and pneumothorax.
Implications:
- Pneumothorax is a rare but significant complication of biliary sphincterotomy.
- Awareness of this complication is crucial for timely diagnosis and treatment following the procedure.
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