Pneumoretroperitoneum post ERCP perforation

Case contributed by Dr Hani Salam


Obstructive jaundice

Patient Data

Gender: Male


Four images from an ERCP. On the second image there is an endoscope with opacification of the pancreatic duct. On the third image, air outlines the retroperitoneal space, compatible with a perforation. On the fourth image, there is increased retroperitoneal air (and air in the central bile ducts).

Cholecystectomy clips.

Extensive retroperitoneal gas on the right, compatible with post ERCP perforation.

CT appearance of the right retropneumoperitoneum.

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Case information

rID: 14641
Case created: 15th Aug 2011
Last edited: 27th Sep 2015
Tags: duodenum, ercp
Inclusion in quiz mode: Included

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