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Standard fluoroscopy during ERCP before and after sphincterotomy
Comparing the radiographs taken just before the sphincterotomy and after shows the sudden presence of free intra-abdominal air, which is not consistent with a intraperitoneal distribution; instead, the air is restricted to the space around the right adrenal gland. Although the amount of free air seems limited, the patient developed progressive pneumoretroperitoneum and a CT was performed.