Post ERCP perforation with pneumoretroperitoneum

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain


Known case of cholelithiasis and choledocholithiasis. She underwent ERCP and then presented with severe abdominal pain and vomiting.

Patient Data

Age: 45 years
Gender: Female

The gallbladder shows a thick enhancing wall with calculi within it. The CBD is dilated with subtle hyperdensity in its distal part representing calculus. Mottled air specks and mild fluid is seen in retroperitoneum.

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