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Case Report

Open Access

Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography with Sphincterectomy

  • TAJDA KEBER1
  • KLEMEN MOJŠKERC1
  • JANA MAKUC1

1,Department of Internal Medicine General Hospital Slovenj Gradec

DOI: 10.22514/SV102.122015.13 Vol.10,Issue 2,December 2015 pp.192-201

Published: 14 December 2015

*Corresponding Author(s): TAJDA KEBER E-mail: tajda.keber@sb-sg.si

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a valuable diagnostic and therapeutic procedure in the management of pancreatic and extrahepatic biliary tract diseases. Although rare, it is related to several complications including retroperitoneal duodenal perforation. The perforation results in air accumulation in the retroperitoneal, pleural or subcutaneous space. We present a case of 63-year-old female with massive bilateral pneumothorax and subcutaneous emphysema following therapeutic ERCP.

Keywords

endoscopic retrograde cholangiopancreatography, pneumothorax, subcutaneous emphysema, complications of endoscopic retrograde cholangiopancreatography

Cite and Share

TAJDA KEBER,KLEMEN MOJŠKERC,JANA MAKUC. Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography with Sphincterectomy. Signa Vitae. 2015. 10(2);192-201.

References

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2. Papamichail M, Nikolaidis N, Anastasiou E, Sidirokastritis G, Prigouris P. Massive Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography with Sphincterectomy. Case Rep Gastroenterol 2010;4:399-403.

3. Schiavon LL, Rodrigues RA, Nakao FS, DiSena VO, Ferrari AP, Libera ED Jr. Subcutaneous Emphysema, Pneumothorax and Pneumomediastinum Following Endoscopic Sphincterotomy. Gastroenterology Research 2010;3(5):216-8.

4. Maturana Ibáñez V, Ferrer Márquez M, Moreno Serrano A, Rodríguez Morillas D, Belda Lozano R. Management of Retreopneumoperitoneum After ERCP. Cir Esp 2013;91:608-9.

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6. Alexiou K, Sakellaridis T, Sikalias N, Karanikas I, Economou N, Antsaklis

G. Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report. Cases Journal 2009;2:120.

7. Neofytou K, Petrou A, Savva C, Petrides C, Andreou C, Felekouras E, et al. Pneumothorax Following ERCP: Report of Two Cases with Different Patophysiology. Case Reports in Medicine vol. 2013, Article ID 206564, 4 pages, 2013. doi:10.1155/2013/206564

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