Voiosu Theodor Alexandru, Gheorghe Andrada Viorela, Lepădat Gabriel, Mateescu Radu Bogdan, Rimbaș Mihai
Department of Gastroenterology, Colentina Clinical Hospital , Bucharest , Romania ; Department of Internal Medicine, Carol Davila University of Medicine , Bucharest , Romania.
Department of Gastroenterology, Colentina Clinical Hospital , Bucharest , Romania.
J Ultrason. 2020;20(80):e67-e69. doi: 10.15557/JoU.2020.0011. Epub 2020 Mar 31.
The paper describes the occurrence of a rare complication - portal and systemic venous air embolism - after endoscopic retrograde cholangiopancreatography, related to the endoscopic procedure. It can be associated with the more frequently encountered post-endoscopic retrograde cholangiopancreatography complications pancreatitis or cholangitis. However, it can also be noted with perforation. The presented case suggests that in the clinical context an early abdominal ultrasound examination confirming hepatic portal venous gas and/or systemic venous air embolism could be useful for the diagnosis of post-endoscopic retrograde cholangiopancreatography retroduodenal perforation, and thus highlights the need for a high index of suspicion should this occurrence be noted post-procedurally, in order to ensure the best care of patients. The paper describes the occurrence of a rare complication – portal and systemic venous air embolism – after endoscopic retrograde cholangiopancreatography, related to the endoscopic procedure. It can be associated with the more frequently encountered post-endoscopic retrograde cholangiopancreatography complications pancreatitis or cholangitis. However, it can also be noted with perforation. The presented case suggests that in the clinical context an early abdominal ultrasound examination confirming hepatic portal venous gas and/or systemic venous air embolism could be useful for the diagnosis of post-endoscopic retrograde cholangiopancreatography retroduodenal perforation, and thus highlights the need for a high index of suspicion should this occurrence be noted post-procedurally, in order to ensure the best care of patients.
本文描述了内镜逆行胰胆管造影术后一种罕见的并发症——门静脉和体静脉空气栓塞，该并发症与内镜操作相关。它可能与内镜逆行胰胆管造影术后更常见的并发症胰腺炎或胆管炎有关。然而，穿孔时也可能出现这种情况。该病例表明，在临床情况下，早期腹部超声检查若能证实肝门静脉气体和/或体静脉空气栓塞，可能有助于诊断内镜逆行胰胆管造影术后十二指肠后穿孔，因此强调了在术后若注意到这种情况时需高度怀疑，以确保为患者提供最佳护理。本文描述了内镜逆行胰胆管造影术后一种罕见的并发症——门静脉和体静脉空气栓塞，该并发症与内镜操作相关。它可能与内镜逆行胰胆管造影术后更常见的并发症胰腺炎或胆管炎有关。然而，穿孔时也可能出现这种情况。该病例表明，在临床情况下，早期腹部超声检查若能证实肝门静脉气体和/或体静脉空气栓塞，可能有助于诊断内镜逆行胰胆管造影术后十二指肠后穿孔，因此强调了在术后若注意到这种情况时需高度怀疑，以确保为患者提供最佳护理。
