title: [Acute pancreatitis after endoscopic evacuation of the gall stone, presenting as duodenal perforation: a case report].
abstract: We present the case of a 25-year-old patient who had sphincterotomy performed for the retrieval of gall stones form the common bile duct, and in whom, immediately after the procedure, signs and symptoms of the retroperitoneal, iatrogenic perforation of the duodenum had developed. Additionally, the patient showed clinical and biochemical symptoms of acute pancreatitis. The patient was operated on, and, intraoperatively, the duodenal perforation was not found, but excessive inflammatory infiltration of the retroperitoneal space, without bile leakage, and typical features for acute pancreatitis. The operation was confined to the duodenal and retroperitoneal space exposure, drainage and jejunostomy for nourishment. The postoperative course was uneventful, acute pancreatitis did not develop into the necrotising form, and the patient eventually recovered.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zyluk
authors.forename: Wojciech
authors.initials: W
authors.lastname: Jagielski
mesh_terms: D000328:Adult; D003135:Common Bile Duct / Q000601:surgery; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000150:complications* / Q000601:surgery*; D006801:Humans; D010195:Pancreatitis / Q000209:etiology*; D010439:Peptic Ulcer Perforation / Q000150:complications* / Q000601:surgery; D012187:Retroperitoneal Space / Q000601:surgery; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*