J Korean Surg Soc.  1999 Oct;57(4):595-599.

Retroperitoneal Duodenal Perforation Following a Endoscopic Sphincterotomy: A case report

• Jeong CW
• Sohn CY
• Kang KJ
• Lim TJ
• Kim H

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.

Keyword

Duodenal perforation; ERCP

MeSH Terms

Abdominal Pain
Abscess
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis
Drainage
Humans
Sensation
Sepsis
Sphincterotomy, Endoscopic*
Tomography, X-Ray Computed