Spontaneous Hepaticoduodenal and Choledochoduodenal Fistula Mimicking Duodenal Ulcer Perforation, a Very Rare Complication of Transarterial Chemoembolization

Spontaneous bilo-enteric fistula is a rare complication following surgery or some therapeutic interventions such as transarterial chemoembolization (TACE). The present case was a young man, a known case of chronic hepatitis B with multiple recurrent hepatocellular carcinoma, who presented with clinical sepsis and jaundice. Computed tomography showed dilated proximal left intrahepatic ducts which suspected anastomotic stricture. He underwent endoscopic retrograde cholangiopancreatography, but the endoscopic view showed a deep ulcer covered by yellowish debris tissue. After re-evaluation it was found to be hepaticoduodenostomy and choledochoduodenostomy tracts. In the present case the fistula was suspected to be related to a previous TACE procedure.

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Surgical procedure for unexpected balloon burst complication during endoscopic balloon dilatation in a patient with common bile duct stones

Surgical Case Reports ◽

10.1186/s40792-020-01014-5 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Koji Morishita ◽

Hideaki Sasaki

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Balloon Dilatation ◽

Rare Complication ◽

Common Bile Duct Stones ◽

Endoscopic Retrograde ◽

Case Presentation ◽

Endoscopic Balloon Dilatation ◽

Cbd Stones ◽

Endoscopic Balloon

Abstract Background Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD. Case presentation A 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications. Conclusions We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.

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Acute Diplopia Following Rhinoplasty: Clearing the Air

Plastic Surgery ◽

10.1177/22925503211027043 ◽

2021 ◽

pp. 229255032110270

Author(s):

Ashley N. Boustany ◽

Carly D. Comer ◽

Harsha Gopal ◽

Samuel J. Lin ◽

Sumner A. Slavin

Keyword(s):

Rare Complication ◽

Therapeutic Interventions ◽

Medical Attention ◽

Delayed Presentation ◽

Patient Evaluation ◽

Acute Stroke Patient ◽

Dry Eyes ◽

Orbital Emphysema ◽

Complete History ◽

Binocular Diplopia

Diplopia after rhinoplasty is a rare complication that requires immediate medical attention. Workup should include a complete history and physical examination, appropriate imaging, and consultation with ophthalmology. Diagnosis may be challenging due to the wide differential ranging from dry eyes to orbital emphysema to an acute stroke. Patient evaluation should be expedient, though thorough to facilitate time-sensitive therapeutic interventions. Here, we present a case of transient binocular diplopia presenting 2 days after closed septorhinoplasty. The visual symptoms were attributed to either intra-orbital emphysema or a decompensated exophoria. This is the second documented case of orbital emphysema after rhinoplasty presenting with diplopia. It is the only case with a delayed presentation as well as the only case that resolved after positional maneuvers.

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Splenic Hematoma as a Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Journal of Clinical Gastroenterology and Treatment ◽

10.23937/2469-584x/1510078 ◽

2020 ◽

Vol 6 (2) ◽

Author(s):

Kulvinder S Bajwa ◽

Anirudh K Madabhushi ◽

Nadim Jafri ◽

Shinil K Shah ◽

Melissa M Felinski

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Rare Complication ◽

Endoscopic Retrograde ◽

Splenic Hematoma

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Air Embolism in a Pediatric Patient: A Very Rare Complication of Endoscopic Retrograde Cholangiopancreatography

Pediatric Cancer, Volume 4 - Pediatric Cancer ◽

10.1007/978-94-007-6591-7_33 ◽

2013 ◽

pp. 331-335

Author(s):

Marta Di Pisa ◽

Giuseppe Chiaramonte ◽

Ilaria Tarantino ◽

Mario Traina

Keyword(s):

Pediatric Patient ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Rare Complication ◽

Air Embolism ◽

Endoscopic Retrograde

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Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis

BMJ Case Reports ◽

10.1136/bcr-2021-247304 ◽

2021 ◽

Vol 14 (11) ◽

pp. e247304

Author(s):

Maninder Kaur ◽

Harsimran Bhatia ◽

Gaurav Muktesh ◽

Pankaj Gupta

Keyword(s):

Hepatic Artery ◽

Liver Abscess ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Rare Complication ◽

Gallstone Disease ◽

Biliary System ◽

Endoscopic Retrograde ◽

Spontaneous Thrombosis ◽

Artery Pseudoaneurysm ◽

Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

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An unusual experience with endoscopic retrograde cholangiopancreatography

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.132408 ◽

2013 ◽

Vol 04 (04) ◽

pp. 114-116 ◽

Cited By ~ 6

Author(s):

Mallikarjun Patil ◽

Keyur A. Sheth ◽

C. K. Adarsh ◽

B. Girisha

Keyword(s):

Gastrointestinal Tract ◽

Endoscopic Retrograde Cholangiopancreatography ◽

Guide Wire ◽

Rare Complication ◽

Endoscopic Retrograde ◽

Endoscopic Procedures ◽

Hepatic Hematoma ◽

Hemorrhagic Complications ◽

Life Threatening ◽

Therapeutic Utility

AbstractThe endoscopic retrograde cholangiopancreatography (ERCP) is known for its varied diagnostic and therapeutic utility for a variety of disorders. However it has greater likelihood of procedure related complications among the endoscopic procedures of gastrointestinal tract. The extraluminal hemorrhagic complications following ERCP are potentially life threatening though relatively rare. We present a 50 year patient with choledocholithiasis and cholelithiasis developing rare complication of subcapsular hepatic hematoma, following ERCP due to guide wire injury.

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