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

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 managem...

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Bibliographic Details
Published inGastroenterology research and practice Vol. 2010; no. 2010; pp. 1 - 7
Main Authors Harrison, M. E., Fleischer, David E., Lau, A., Fujii, L.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Puplishing Corporation 01.01.2010
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Hindawi Limited
Wiley
Subjects
Abdomen
Care and treatment
Case Report
Complications and side effects
Cysts
Diagnosis
Emphysema
Emphysema, Pulmonary
Endoscopic retrograde cholangiopancreatography
Health aspects
Mortality
Pneumomediastinum
Pneumothorax
Prognosis
Risk factors
Stents
United States
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Summary: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.
Bibliography:Academic Editor: Mohamad A. Eloubeidi
ISSN:1687-6121
1687-630X
DOI:10.1155/2010/289135