J Korean Surg Soc.
1999 Oct;57(4):595-599.
Retroperitoneal Duodenal Perforation Following a Endoscopic Sphincterotomy: A case report
- Affiliations
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- 1Department of Surgery, Keimyung University, School of Medicine.
- 2Department of Radiology, Keimyung University, School of Medicine.
Abstract
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The endoscopic sphincterotomy plays an important role in the treatment of common duct stones; however, with a sphincterotomy has the potential hazard of critical complications. Retroperitoneal duodenal perforation during the endoscopic sphincterotomy is a well-recognized complication causing retroperitoneal abscess, sepsis, and sometimes death. We experienced a patient who complained a severe abdominal pain with a febrile sensation after an endoscopic retrograde cholangiopancreatography with sphincterotomy. The diagnosis was delayed, but confirmed by the CT scan, and a duodenal diverticulization with T-tube drainage was performed. The patient was managed by using a duodenal diverticulization with T-tube drainage, but a conservative management is usually effective if the duodenal perforation is recognized immediately and occurs together with uninfected minimal soilage.