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 pneumobilia.

Cholecystectomy clips.

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

CT appearance of the right pneumoretroperitoneum.

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Case information

rID: 14641
Published: 15th Aug 2011
Last edited: 18th Jan 2020
Inclusion in quiz mode: Included

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