Perforation of the duodenum during the retrograde cholangiopancreatography treated without surgery

Akira Tsuji, Daisuke Hashimoto, Tetsu Ozaki, Akira Chikamoto, Toru Beppu, Hideo Baba

Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Department of Gastroenterology and Hepatology, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.

DOI: 10.4236/crcm.2012.12007                

Abstract

Perforation after endoscopic retrograde cholan- giopancreatography (ERCP) is a rare but severe complication. Management of ERCP-associated duodenal perforation remains controversial. Some recommend surgery, while others recommend conservative treatment. We describe the case who developed perforation of the duodenum and gas in the retroperitoneal cavity after ERCP. There was no sign of peritonitis, pancreatitis or sepsis. The patient was treated by conservative therapy without operation, and finally, fully re- covered from perforation.

Keywords

ERCP; Complication; Perforation; Conservative Therapy

Conflicts of Interest

The authors declare no conflicts of interest.

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