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内镜逆行胰胆管造影术(ERCP)引起的气腹、腹膜后积气和双侧气胸。

Pneumoperitoneum, pneumoretroperitoneum and bilateral pneumothorax caused by ERCP.

作者信息

Ozgonul Abdullah, Cece Hasan, Sogut Ozgur, Demir Deniz, Kurkcuoglus Ibrahim Can

机构信息

Department of General Surgery, Harran University, School of Medicine, Sanliurfa, Turkey.

出版信息

J Pak Med Assoc. 2010 Jan;60(1):60-1.

PMID:20055284
Abstract

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.

摘要

内镜逆行胰胆管造影术(ERCP)是肝胆胰疾病的主要治疗手段之一。与该手术相关的危及生命的并发症,如气腹、腹膜后积气、纵隔气肿、皮下气肿和气胸很少发生,英文文献中仅报道了少数病例。在此,我们报告一例因十二指肠穿孔并发ERCP术后出现急性腹部症状伴皮下气肿和双侧气胸的患者,该患者已成功治愈。

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引用本文的文献

1
Early management experience of perforation after ERCP.内镜逆行胰胆管造影术后穿孔的早期处理经验。
Gastroenterol Res Pract. 2012;2012:657418. doi: 10.1155/2012/657418. Epub 2012 Jul 26.
2
Pneumothorax following ERCP: report of four cases and review of the literature.ERCP 后发生气胸:4 例报告及文献复习。
Dig Dis Sci. 2012 Aug;57(8):1990-5. doi: 10.1007/s10620-012-2150-3. Epub 2012 Mar 31.