scholarly journals ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum

2018 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Mohammad Saud Khan ◽  
Faisal Jamal ◽  
Zubair Khan ◽  
Abhinav Tiwari ◽  
Hermann Simo ◽  
...  
Keyword(s):  
Supportive Care ◽  
Male Patient ◽  
Subcutaneous Emphysema ◽  
Duodenal Perforation ◽  
Close Monitoring ◽  
Air Leak ◽  
Endoscopic Retrograde ◽  
Scrotal Pain ◽  
Life Threatening ◽  
Life Threatening Complication

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care.

scholarly journals Spontaneous massive duodenal perforation after ovarian cancer treatment with bevacizumab

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Michael Karanikas ◽  
Konstantinia Kofina ◽  
Dimitrios Potolidis ◽  
Soultana Foutzitzi ◽  
Savas Deftereos ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Adverse Effects ◽  
Cancer Treatment ◽  
Bowel Perforation ◽  
Gastrointestinal Perforation ◽  
Duodenal Perforation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Caucasian Female

Abstract Bevacizumab has been used as an effective drug for ovarian cancer. However, serious adverse effects, such as gastrointestinal perforation, can occur. Spontaneous gastrointestinal perforation is an uncommon, yet life-threatening complication related to bevacizumab administration. We present the case of a 65-year-old Caucasian female who presented with acute abdomen 10 days after the first administration of bevacizumab for ovarian cancer treatment, and she was diagnosed intraoperatively with a massive duodenal perforation. Bowel perforation after bevacizumab administration is a serious and potentially lethal complication. Careful follow-up of the patients is necessary in order to detect any signs of this condition in time.

scholarly journals Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography: A Rare Complication

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Fotios Sampaziotis ◽  
Alan Wiles ◽  
Syed Shaukat ◽  
Richard J. Dickinson
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Subcutaneous Emphysema ◽  
Rare Complication ◽  
Pancreatic Disease ◽  
Therapeutic Modality ◽  
Duodenal Perforation ◽  
Chest Drain ◽  
Bilateral Pneumothorax ◽  
Endoscopic Retrograde ◽  
Quick Recovery

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a widely used diagnostic and therapeutic modality in the management of biliary and pancreatic disease. Some of the complications of the procedure, although rare, may carry significant morbidity and mortality risks. We describe the case of a 68-year-old female who underwent elective ERCP for ductal stone clearance. Immediately postprocedure, the patient developed subcutaneous emphysema and bilateral pneumothoraces. Further imaging revealed the presence of free intra-abdominal air. The patient made a very quick recovery after bilateral chest drain insertion and no further intervention was required. We propose that pneumothorax, pneumomediastinum, and subcutaneous emphysema during ERCP, in the absence of duodenal perforation may be explained by leakage of air from a site of low resistance such as the sphincterotomy site, or as a result of copious Valsalva manoeuvres performed by a patient tolerating the procedure poorly.

Complication of Jet Ventilation during Microlaryngeal Surgery

1994 ◽  
Vol 103 (8) ◽  
pp. 624-627 ◽  
Author(s):  
Itzhak Braverman ◽  
Jean-Yves Sichel ◽  
Moshe Goldsher ◽  
Patrick Halimi ◽  
Avishag Kadari
Keyword(s):  
Subcutaneous Emphysema ◽  
Safe Procedure ◽  
Jet Ventilation ◽  
Gastric Distention ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Microlaryngeal Surgery

Complications during jet ventilation for microlaryngoscopy, which is usually a relatively safe procedure, are rare. Those described have included hypoventilation, pneumothorax, pneumomediastinum, subcutaneous emphysema, pneumoperitoneum, and gastric distention. We describe herein a case of a life-threatening complication during jet ventilation with a Carden's tube that ended in laparotomy.

scholarly journals Emergency Laparoscopic Repair of an Iatrogenic Gastric Perforation in a Hiatal Hernia following a Failed Endoscopic Closure

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Benjamin L. Reed ◽  
Lawrence E. Tabone ◽  
Nova Szoka ◽  
Salim Abunnaja
Keyword(s):  
Hiatal Hernia ◽  
Laparoscopic Repair ◽  
Surgical Repair ◽  
Gastric Perforation ◽  
Endoscopic Retrograde ◽  
Endoscopic Procedures ◽  
Abdominal Drain ◽  
Endoscopic Closure ◽  
Life Threatening ◽  
Life Threatening Complication

Iatrogenic gastrointestinal perforation is a rare, life-threatening complication of endoscopic procedures, which requires either endoscopic or surgical repair. We report the account of an 82-year-old woman with an iatrogenic gastric perforation of a hiatal hernia secondary to an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Despite immediate recognition of the complication and endoscopic closure with through-the-scope (TTS) clips, the patient developed mediastinitis, peritonitis, and sepsis. She subsequently underwent an emergency laparoscopic hiatal hernia dissection and repair of the perforation with mediastinal and peritoneal washout. Given the patient’s age and the degree of insult, subdiaphragmatic anchoring with abdominal drain placement was performed, and the hiatus was left open for additional drainage. The use of a side-viewing duodenoscope with the presence of a large hiatal hernia contributed to the risk of gastric perforation. We conclude that performing endoscopic procedures in patients with a known hiatal hernia should be carefully undertaken. If a perforation in such patients occurs, laparoscopic repair of such complications is feasible as demonstrated in this case video.

Intraventricular Pneumocephalus Secondary to Subcutaneous Emphysema: A Case Report

Neurosurgery ◽  
1984 ◽  
Vol 15 (4) ◽  
pp. 557-558 ◽  
Author(s):  
Donald D. Horton ◽  
Michael Pollay ◽  
Arden F. Reynolds
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Subcutaneous Emphysema ◽  
Diagnosis And Treatment ◽  
Unusual Complication ◽  
Tension Pneumocephalus ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Prompt Diagnosis

Abstract Intraventricular tension pneumocephalus is an unusual complication of surgically treated hydrocephalus. This is a life-threatening complication requiring prompt diagnosis and treatment. A case is presented wherein tension pneumocephalus developed as a result of cervicocranial subcutaneous emphysema in the presence of a ventriculoperitoneal shunt.

scholarly journals Etiologies and risks of splenic decapsulation after endoscopic retrograde cholangiopancreatography: case report and literature review

2018 ◽  
Vol 06 (03) ◽  
pp. E271-E273 ◽  
Author(s):  
Vijeta Pamudurthy ◽  
Raju Abraham ◽  
Thomas Betlej ◽  
Ashish Shah ◽  
Dong Kim ◽  
...  
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Severe Pain ◽  
Splenic Injury ◽  
Interventional Procedure ◽  
Endoscopic Retrograde ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
High Index Of Suspicion

Abstract Background and study aims Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive diagnostic and interventional procedure used in conditions related to the pancreas and biliary tract. It has a complication rate ranging from 4 % to 10 %. Severe complications are few with the most common of them being post-ERCP pancreatitis, post-sphincterotomy bleeding, and perforation. A rare, but potentially life-threatening complication of ERCP is splenic injury. We report the case of a 60-year-old female with choledocholithiasis who sustained splenic decapsulation following ERCP. The exact causes of splenic injury are unknown, although several mechanisms are postulated. A literature review of splenic injuries post-ERCP shows that there are only 3 cases with post-ERCP splenic decapsulation. Our patient is the first one in whom splenic decapsulation occurred without any risk factors or technical difficulties during the procedure. A high index of suspicion for splenic injury is required in any patient who has severe pain, anemia, or hemorrhagic shock after ERCP.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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