Abstract
Pneumomediastinum and subcutaneous emphysema have rarely been reported to occur as a result of duodenal perforation from ERCP and sphincterotomy. Case Report: In this report, we describe a case of pneumomediastinum associated with ERCP. There was no evidence of duodenal or esophageal perforation on imaging and the patient was treated conservatively with full recovery. Conclusion: In the absence of frank perforation, pneumomediastinum and subcutaneous emphysema are rare complications of ERCP that can be managed conservatively with fasting, IV fluids and antibiotics.
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