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内镜逆行胰胆管造影术及括约肌切开术后出现大量皮下气肿

Massive Subcutaneus Emphysema following Endoscopic Retrograde Cholangiopancreatography with Sphincterotomy.

作者信息

Papamichail Michail, Nikolaidis Nicolas, Anastasiou Elina, Sidirokastritis George, Prigouris Panagiotis

机构信息

Northwick Park & St Mark's Hospital, London, UK.

出版信息

Case Rep Gastroenterol. 2010 Sep 20;4(3):399-403. doi: 10.1159/000320669.

DOI:10.1159/000320669
PMID:21060708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2975007/
Abstract

Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective procedure for the diagnosis and treatment of the pancreatic and extrahepatic biliary tract diseases, it is still related with several complications. A female patient who underwent an ERCP with sphincterotomy developed massive subcutaneous emphysema along with pneumomediastinum and pneumoperitoneum. Although mild respiratory distress occurred, based on the absence of intaabdominal leakage of gastrografin, the patient was managed conservatively. In conclusion, the retroperitoneal air collection related to ERCP is well recognized even in the absence of obvious perforation and may spread to adjacent areas, causing serious complications.

摘要

尽管内镜逆行胰胆管造影术（ERCP）是诊断和治疗胰腺及肝外胆道疾病的有效方法，但它仍与多种并发症相关。一名接受ERCP及括约肌切开术的女性患者出现了广泛的皮下气肿，同时伴有纵隔气肿和腹腔积气。尽管出现了轻度呼吸窘迫，但基于泛影葡胺无腹腔内渗漏，该患者接受了保守治疗。总之，即使在没有明显穿孔的情况下，与ERCP相关的腹膜后积气也已得到充分认识，且可能扩散至邻近区域，导致严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/fc70e5c29173/crg0004-0399-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/e663511b902c/crg0004-0399-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/ee38c89ae91d/crg0004-0399-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/4268c2c02318/crg0004-0399-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/fc70e5c29173/crg0004-0399-f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/e663511b902c/crg0004-0399-f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/ee38c89ae91d/crg0004-0399-f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/4268c2c02318/crg0004-0399-f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6292/2975007/fc70e5c29173/crg0004-0399-f04.jpg

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本文引用的文献

1
Quality indicators, including complications, of ERCP in a community setting: a prospective study.社区环境下内镜逆行胰胆管造影术（ERCP）的质量指标，包括并发症：一项前瞻性研究。
Gastrointest Endosc. 2009 Sep;70(3):457-67. doi: 10.1016/j.gie.2008.11.022. Epub 2009 May 30.
2
Bilateral pneumothorax following endoscopic retrograde cholangiopancreatography: a case report.内镜逆行胰胆管造影术后双侧气胸：一例报告
Endoscopy. 2007 Feb;39 Suppl 1:E195. doi: 10.1055/s-2007-966416. Epub 2007 Jul 5.
3
Incidence rates of post-ERCP complications: a systematic survey of prospective studies.
内镜逆行胰胆管造影术后并发症的发生率：前瞻性研究的系统综述。
Am J Gastroenterol. 2007 Aug;102(8):1781-8. doi: 10.1111/j.1572-0241.2007.01279.x. Epub 2007 May 17.
4
Massive subcutaneous emphysema after attempted endoscopic retrograde cholangiopancreatography in a patient with a history of bariatric gastric bypass surgery.
Endoscopy. 2007 Feb;39 Suppl 1:E155. doi: 10.1055/s-2006-925181. Epub 2007 Jul 23.
5
The ERCP-related lawsuit: "Best avoid it!".
Gastrointest Endosc. 2006 Mar;63(3):385-8. doi: 10.1016/j.gie.2005.11.040.
6
Analysis of 59 ERCP lawsuits; mainly about indications.59例内镜逆行胰胆管造影术（ERCP）诉讼案分析；主要涉及适应症。
Gastrointest Endosc. 2006 Mar;63(3):378-82; quiz 464. doi: 10.1016/j.gie.2005.06.046.
7
Significance of retroperitoneal air after endoscopic retrograde cholangiopancreatography with sphincterotomy.内镜逆行胰胆管造影术及括约肌切开术后腹膜后积气的意义
Am J Gastroenterol. 1999 May;94(5):1267-70. doi: 10.1111/j.1572-0241.1999.00996.x.
8
Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study.内镜逆行胰胆管造影术诊断和治疗的主要早期并发症：一项前瞻性多中心研究。
Gastrointest Endosc. 1998 Jul;48(1):1-10. doi: 10.1016/s0016-5107(98)70121-x.
9
Tension pneumothorax complicating a perforation of a duodenal ulcer during ERCP with endoscopic sphincterotomy.在内镜逆行胰胆管造影术（ERCP）及内镜括约肌切开术期间，十二指肠溃疡穿孔并发张力性气胸。
Endoscopy. 1997 May;29(4):332. doi: 10.1055/s-2007-1004205.
10
Complications of endoscopic biliary sphincterotomy.内镜下胆管括约肌切开术的并发症。
N Engl J Med. 1996 Sep 26;335(13):909-18. doi: 10.1056/NEJM199609263351301.