Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP
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 manag...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/289135 |
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| author | L. Fujii A. Lau D. E. Fleischer M. E. Harrison |
| author_facet | L. Fujii A. Lau D. E. Fleischer M. E. Harrison |
| author_sort | L. Fujii |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6ea5a0f994ad425a88ffdaf192a815f3 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-6ea5a0f994ad425a88ffdaf192a815f32025-02-03T01:31:13ZengWileyGastroenterology Research and Practice1687-61211687-630X2010-01-01201010.1155/2010/289135289135Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCPL. Fujii0A. Lau1D. E. Fleischer2M. E. Harrison3Mayo Clinic, 13400 E Shea Blvd, Department of Internal Medicine, Phoenix, AZ 85259, USAMayo Clinic, 13400 E Shea Blvd, Department of Internal Medicine, Phoenix, AZ 85259, USAMayo Clinic, 13400 E Shea Blvd, Division of Gastroenterology and Hepatology, Phoenix, AZ 85259, USAMayo Clinic, 13400 E Shea Blvd, Division of Gastroenterology and Hepatology, Phoenix, AZ 85259, USAComplications 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.http://dx.doi.org/10.1155/2010/289135 |
| spellingShingle | L. Fujii A. Lau D. E. Fleischer M. E. Harrison Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP Gastroenterology Research and Practice |
| title | Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP |
| title_full | Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP |
| title_fullStr | Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP |
| title_full_unstemmed | Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP |
| title_short | Successful Nonsurgical Treatment of Pneumomediastinum, Pneumothorax, Pneumoperitoneum, Pneumoretroperitoneum, and Subcutaneous Emphysema following ERCP |
| title_sort | successful nonsurgical treatment of pneumomediastinum pneumothorax pneumoperitoneum pneumoretroperitoneum and subcutaneous emphysema following ercp |
| url | http://dx.doi.org/10.1155/2010/289135 |
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