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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662


CASTILLO YUJRA, Boris Jorge; OVIEDO GAMBOA, Ifigenia; CLAROS ESPINOZA, Karen Griselda  and  PATZI BASCOPE, Raul. Retropneumoperitoneum, pneumoperitoneum, pneumomediastinum, pneumothorax and subcutaneous emphysema after ERCP: a case report. Gac Med Bol [online]. 2014, vol.37, n.1, pp.40-43. ISSN 1012-2966.

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive technique for the pathologies of the biliary and pancreatic tree, although it is a method with many benefits, it is not without complications, the duodenal perforation of paramount importance for the high mortality rate reported. Early diagnosis of this iatrogenic injury as determined by clinical assessment and imaging methods determine the early and appropriate treatment of this complication. The clinical picture of a patient presents with a history of cholecystectomy having right upper quadrant pain, biliary dilatation and impaired liver function tests with obstructive pattern. With suspected obstructive biliary tract disease, ERCP is performed. Following this procedure the patient has multiple signs of extraluminal free air (Retropneumoperitoneum, pneumoperitoneum, pneumomediastinum, pneumothorax and subcutaneous emphysema), so that emergency exploratory laparotomy confirmed the presence of duodenal perforation is performed.

Keywords : ERCP; duodenal perforation; retropneumoperitoneum; pneumoperitoneum; pneumomediastinum; pneumothorax.

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