Pseudobowel perforation following endoscopic retrograde cholangiopancreatography.
We report two cases of pneumoperitoneum following endoscopic retrograde cholangiopancreatography for retained common bile duct (CBD) stones. These post-cholecystectomy patients underwent sphincterotomy, CBD clearance, and "T" tube removal at the same time. Post-procedure, both of the patients developed pneumoperitoneum. Pneumoperitoneum developed as a result of air traversing from the duodenum to the peritoneum through the ruptured "T" tube tract. "T" tube removal in the same sitting as sphincterotomy and CBD clearance may lead to pneumoperitoneum, which can be managed conservatively.
Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. virendrasingh100@hotmail.com
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Singh
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Verma
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Yadav
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Gupta
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D002763:Cholecystectomy; D042883:Choledocholithiasis / Q000601:surgery*; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000175:diagnosis / Q000209:etiology*; D012086:Reoperation; D016717:Sphincterotomy, Endoscopic