Abstract

VALDIVIA GUITERAZ, Juan Héctor. MASSIVE SUBCUTANEUS EMPHYSEMA FOLLOWING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY WITH SPHINCTEROTOMY AND LEMMEL SYNDROME. Rev. Méd. La Paz [online]. 2016, vol.22, n.2, pp.42-45. ISSN 1726-8958.

Endoscopic Retrograde Cholangiopancreatography (ERCP), is a very common procedure in our commonly used in the diagnosis and treatment of biliary pathology, though not without complications, some of them can be considered serious. In this case report a female patient of 55 years old is presented, which is performed ERCP with Syndrome diagnosis Lemmel, with sphincterotomy, at four hours post procedure developed massive subcutaneous emphysema besides pneumoperitoneum and pneumothorax, no data of peritonitis or abdominal pain, clinical case due to the striking of the clinical presentation and rapid resolution with conservative management alone is presented. In conclusion apparently this post ERCP complication due to Microperforation occurs, there is no apparent biliary or duodenal perforation, and supra papillary diverticulum acts as a low pressure system with valve effect causing air leakage into subcutaneous fascial planes, and peritoneal and pleural due insufflation with duodenoscope, management is conservative and good prognosis.

Keywords : Endoscopic Retrograde Cholangiopancreatography; subcutaneous emphysema.

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