Retroperitoneal perforation during ERCP and endoscopic sphincterotomy: causes, clinical features and management.

Abstract:

:Eleven patients with retroperitoneal perforation complicating endoscopic management of bile duct obstruction were seen over a seven-year period. In nine patients endoscopic sphincterotomy or pre-cut papillotomy had been performed, but in two who had not undergone sphincterotomy perforation occurred because of the penetration of a guidewire during attempts to negotiate a malignant bile duct stricture. Eight out of eleven patients remained asymptomatic, and all recovered with conservative management. Asymptomatic retroperitoneal perforation can complicate therapeutic ERCP even when sphincterotomy is not performed, but conservative management is usually effective if the complications is recognized immediately.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Martin DF,Tweedle DE

doi

10.1055/s-2007-1012833

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

174-5

issue

4

eissn

0013-726X

issn

1438-8812

journal_volume

22

pub_type

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