Management of Post-ERCP Air Leak: A Case Report
Keywords:
Endoscopic retrograde cholangiopancreatography, contrast enhanced computed tomography, side viewing esophagogastroduodenoscope
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is associated with retroperitoneal perforation in approximately 2.1% patients, but not infrequently, retroperitoneal air, pneumoperitoneum, pneumomediastinum, pneumothorax, and subcutaneous emphysema are also reported which may or may not be associated with retroperitoneal perforation. We report the case of a female patient with post-ERCP air leak into different compartments without iatrogenic gastrointestinal perforation and which was managed conservatively.
References
1. Ferrara F, Luigiano C, Billi P, Jovine E, Cinquantini F, D’Imperio N. Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema after ERCP. Gastrointest Endosc 2009; 69:1398-401.
2. Seymann GB, Savides T, Richman KM. Massive subcutaneous emphysema after endoscopic retrograde cholangiopancreatography. Am J Med 2010; 123:e15-6.
3. Kaul S, Koul S, Singh H, Kachroo SL, Chrungoo RK. Post ERCP Surgical Emphysema. J K Science 2008; 10:18990.
4. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg 2000; 232:191-8.
5. Jaiswal SK, Sreevastava DK, Datta R, Lamba NS. Unusual occurrence of massive subcutaneous emphysema during ERCP under general anaesthesia. Indian J Anaesth 2013; 57:615-7.
6. Seymann GB, Savides T, Richman KM. Massive subcutaneous emphysema after endoscopic retrograde cholangiopancreatography. Am J Med. 2010; 123:e15–6.
7. Kaul S, Koul S, Singh H, Kachroo SL, Chrungoo RK. Post ERCP Surgical Emphysema. J K Science. 2008; 10:18990.
2. Seymann GB, Savides T, Richman KM. Massive subcutaneous emphysema after endoscopic retrograde cholangiopancreatography. Am J Med 2010; 123:e15-6.
3. Kaul S, Koul S, Singh H, Kachroo SL, Chrungoo RK. Post ERCP Surgical Emphysema. J K Science 2008; 10:18990.
4. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg 2000; 232:191-8.
5. Jaiswal SK, Sreevastava DK, Datta R, Lamba NS. Unusual occurrence of massive subcutaneous emphysema during ERCP under general anaesthesia. Indian J Anaesth 2013; 57:615-7.
6. Seymann GB, Savides T, Richman KM. Massive subcutaneous emphysema after endoscopic retrograde cholangiopancreatography. Am J Med. 2010; 123:e15–6.
7. Kaul S, Koul S, Singh H, Kachroo SL, Chrungoo RK. Post ERCP Surgical Emphysema. J K Science. 2008; 10:18990.
Published
2020-11-25
How to Cite
Dr. Brij Sharma, Dr. Rajesh Sharma, Dr. Vishal Bodh, Dr. Rajesh Kumar. (2020). Management of Post-ERCP Air Leak: A Case Report. The Indian Practitioner, 73(11), 37-38. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/1082
Section
Case Reports
