Retroperitoneal Duodenal Perforation Following a Endoscopic Sphincterotomy: A case report.
- Author:
Chang Wook JEONG
1
;
Chang Yong SOHN
;
Koo Jeong KANG
;
Tae Jin LIM
;
Hong KIM
Author Information
1. Department of Surgery, Keimyung University, School of Medicine.
- Publication Type:Case Report
- Keywords:
Duodenal perforation;
ERCP
- MeSH:
Abdominal Pain;
Abscess;
Cholangiopancreatography, Endoscopic Retrograde;
Diagnosis;
Drainage;
Humans;
Sensation;
Sepsis;
Sphincterotomy, Endoscopic*;
Tomography, X-Ray Computed
- From:Journal of the Korean Surgical Society
1999;57(4):595-599
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The endoscopic sphincterotomy plays an important role in the treatment of common duct stones; however, with a sphincterotomy has the potential hazard of critical complications. Retroperitoneal duodenal perforation during the endoscopic sphincterotomy is a well-recognized complication causing retroperitoneal abscess, sepsis, and sometimes death. We experienced a patient who complained a severe abdominal pain with a febrile sensation after an endoscopic retrograde cholangiopancreatography with sphincterotomy. The diagnosis was delayed, but confirmed by the CT scan, and a duodenal diverticulization with T-tube drainage was performed. The patient was managed by using a duodenal diverticulization with T-tube drainage, but a conservative management is usually effective if the duodenal perforation is recognized immediately and occurs together with uninfected minimal soilage.
