Pneumoperitoneum, pneumoretroperitoneum and bilateral pneumothorax caused by ERCP.

Endoscopic retrograde cholangiopancreatography (ERCP) is one of the mainstay procedure treatment of hepatobiliary and pancreatic diseases. Life-threatening complications such as pneumoperitoneum, pneumoretroperitoneum, pneumomediastinum, subcutaneous emphysema and pneumothorax related to this procedure rarely occur and only a few cases are reported in English literature. Herein, we report a patient who developed acute abdominal symptoms with subcutaneous emphysema and bilateral pneumothorax due to duodenal perforation, accompaniment of ERCP that was successfuly treated.