Abstract
BackgroundThe presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space.Case presentationWe report an unusual case of a self-limited subcutaneous emphysema, pneumomediastinum and pneumoperitoneum following an unsuccessful ERCP for removal of a common bile duct stone.ConclusionThere was no radiological evidence of peritoneal or retroperitoneal perforation. This complication is distinct from pneumomediastinum and pneumoperitoneum due to perforation, and must be recognized, because it is benign and needs no surgical or radiological intervention.
Highlights
The presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space.Case presentation: We report an unusual case of a self-limited subcutaneous emphysema, pneumomediastinum and pneumoperitoneum following an unsuccessful Endoscopic retrograde cholangiopancreatography (ERCP) for removal of a common bile duct stone
Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after endoscopy indicate free perforation resulting from instrumental trauma
We present a case of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after ERCP without an obvious retroperitoneal or peritoneal perforation
Summary
Our case suggests that pneumomediastinum, pneumoperitoneum and subcutaneous emphysema without free esophageal perforation or perforation in the peritoneal cavity or the retroperitoneal space following endoscopy is benign, self-limited and need no surgical or radiological intervention. 8. Basso L, Pescatori M: Subcutaneous emphysema after associated colonoscopy and transanal excision of rectal adenoma. Markogiannakis H, Toutouzas KG, Pararas NV, Romanos A, Theodorou D, Bramis I: Bilateral pneumothorax following endoscopic retrograde cholangiopancreatography: a case report. Lagoudianakis EE, Tsekouras D, Papadima A, Genetzakis M, Pattas M, Gianopoulos P, Konstadoulakis MM, Manouras A: Pneumothorax complicating endoscopic sphincterotomy successfully treated conservatively.
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