title: Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP.
abstract: Complications related to endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, hemorrhage, cholangitis, and perforation. ERCP-related perforation is uncommon, but mortality rates are high. Diagnosis requires a high clinical suspicion for early detection to allow optimal management of the perforation and a better prognosis. Treatment depends on the location and mechanism and increasingly involves nonoperative management. We report a case of successful nonsurgical treatment of a patient with extensive air involving the peritoneum, retroperitoneum, thorax, mediastinum, and subcutaneous tissues following an ERCP perforation.
authors.affiliation: Mayo Clinic, 13400 E Shea Blvd, Department of Internal Medicine, Phoenix, AZ 85259, USA.
authors.forename: L
authors.initials: L
authors.lastname: Fujii
authors.forename: A
authors.initials: A
authors.lastname: Lau
authors.forename: D E
authors.initials: DE
authors.lastname: Fleischer
authors.forename: M E
authors.initials: ME
authors.lastname: Harrison