Park Woo Young, Cho Kwang Bum, Kim Eun Soo, Park Kyung Sik
Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Clin Endosc. 2012 Jun;45(2):177-80. doi: 10.5946/ce.2012.45.2.177. Epub 2012 Jun 30.
Endoscopic retrograde cholangiopancreatography (ERCP)-related perforation is classified into three or four types based on anatomical location and the mechanism of injury. Although ampullary injury, among them, may be managed nonsurgically, surgical management is required in cases of perforation with retroperitoneal fluid collection and severe condition. Here, a patient with ERCP-related severe ampullary perforation with retroperitoneal fluid collection that was treated nonsurgically with a covered stent is presented.
内镜逆行胰胆管造影术(ERCP)相关穿孔根据解剖位置和损伤机制可分为三型或四型。其中,壶腹损伤虽可采用非手术治疗,但对于伴有腹膜后积液且病情严重的穿孔病例,则需要进行手术治疗。本文报告了1例ERCP相关严重壶腹穿孔伴腹膜后积液的患者,该患者采用覆膜支架进行了非手术治疗。