Pneumoretroperitoneum post ERCP perforation

Case contributed by Dr Hani Salam

Presentation

Obstructive jaundice

Patient Data

Gender: Male
Fluoroscopy

ERCP

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
Published: 15th Aug 2011
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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