Korean Journal of Pancreas and Biliary Tract  2015;20(3):146-150

doi:10.15279/kpba.2015.20.3.146

A Case of Suspected Intrahepatic Bile Duct Perforation after Direct Peroral Cholangioscopy.

Dae Won PARK 1 ; Sang Wook PARK ; Du Jin KIM ; Kyoung Wan YOU ; Geum Soo LEE ; Jong Taek KIM ; Seok Ho SEO ; Seung Hyun LEE

Affiliations

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Keywords

Peroral cholangioscopy; Pneumoperitoneum; Bile duct perforation; Common bile duct stone; Electrohydraulic lithotripsy

Country

Republic of Korea

Language

Korean

Abstract

Direct peroral cholangioscopy (POC) which permits direct visualization of the biliary tree has recently gained widespread clinical use for diagnosis and treatment of various pancreatobiliary diseases. But, there is currently little reliable data on evaluating the complications of POC. POC is associated with complications such as pancreatitis, cholangitis, hemorrhage, rarely air embolism, and ductal perforation. The incidence of complication during POC is 2.9-12%. However, pneumoperitoneum due to intrahepatic bile duct perforation after POC has not yet been reported in Korea. We report a case of pneumoperitoneum after POC which has been successfully managed with endoscopic nasobiliary drainage and antibiotics.