A rare cause of mediastinal and cervical emphysema: Duodenal perforation during endoscopic retrograde cholangiopancreatography
Hayrullah Derici, Ali Doğan Bozdağ, Tuğrul Tansuğ, Okay Nazlı
İzmir Atatürk Eğitim ve Araştırma Hastanesi, 3. Cerrahi Kliniği, İZMİR
Abstract
Duodenum perforation during endoscopic retrograde cholangiopancreatography is a rare but life threatening complication. Pneumoperitoneum with pneumothorax, pneumomediastinum and cervical subcutaneous emphysema after endoscopic retrograde cholangiopancreatography is extremely rare and is limited to a few cases in the literature. A patient in whom a perforation occurred in the retroperitoneal duodenum during endoscopic retrograde cholangiopancreatography and pnemoperitoneum, pneumothorax, pneumomediastinum and cervical emphysema formed afterwards is presented and the literature is reviewed in this study.
Keywords: Endoscopic retrograde cholangiopancreatography, duodenal perforation.