Gastric perforation after endoscopic retrograde cholangiapancreatography – case report

Authors

  • Andrzej Modrzejewski Pomeranian Medical University in Szczecin, Department of Surgical and Emergency Nursing
  • Marcin Śledź Independent Public Multispecialty Health Care Center in Stargard, General Surgery Department
  • Mirosław Parafiniuk Pomeranian Medical University in Szczecin, Department of Forensic Medicine
  • Bartosz Paśnik Hospital in Szczecinek, General Surgery Department
  • Tomasz Nowak Pomeranian Medical University in Szczecin, Cardiology Clinic

DOI:

https://doi.org/10.21164/pomjlifesci.495

Keywords:

endoscopic retrograde cholangiopancreatography, complications, perforation, stomach

Abstract

ABSTRACT

Endoscopic retrograde cholangiapancreatography (ERCP) is an invasive diagnostic and therapeutic procedure in bile duct diseases. These procedures have severe complications, yet gastric perforation hasn’t been presented in literature.

We present a case study of an 82 year old woman admitted to hospital due to suspected choledocolithiasis. The patient underwent two ERCP procedures. Due to acute abdominal pain, abdominal radiography was also performed. The examination revealed intraperitoneal free air. The patient underwent open repair of the perforated stomach. The second day after surgery the patient suffered multiorgan failure and was transmitted to the intensive care unit where she died 2 days later.

References

Enss R, Eloubeidi MA, Mergener K, Jowell PS, Branch MS, Pappas TM, et al. ERCP-related perforations: risk factors and management. Endoscopy 2002;34(4):293-8. doi: 10.1055/s-2002-23650.

Faylona JM, Qadir A, Chan AC, Lau JY, Chung SC. Small bowel perforations related to ERCP in patients with Billroth II gastrectomy. Endoscopy 1999;31(7):546-9. doi: 10.1055/s-1999-61.

Weiland T, Fehlker M, Gottwald T, Schurr MO. Performance of the OTSC system in the endoscopic closure of iatrogenic gastrointestinal perforations: A systemic review. Surg Endosc 2013;27(7):2258-74. doi: 10.1007/s00464-012-2754-x.

Marek T, Nowakowska-Duława E, Baniukiewicz A, Kurek K, Białek A, Milewski J, et al. Wskaźniki jakości w endoskopowej cholangiopankreatografii wstecznej – wytyczne Polskiego Towarzystwa Gastroenterologii i Towarzystwa Chirurgów Polskich. Gastroenterol Prakt 2015:7(2):39-62.

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Published

2018-12-20

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