Korean J Pancreas Biliary Tract.  2015 Jul;20(3):146-150. 10.15279/kpba.2015.20.3.146.

A Case of Suspected Intrahepatic Bile Duct Perforation after Direct Peroral Cholangioscopy

• Park DW
• Park SW
• Kim DJ
• You KW
• Lee GS
• Kim JT
• Seo SH
• Lee SH

• KMID: 2448490
• DOI: http://doi.org/10.15279/kpba.2015.20.3.146

Abstract

Direct peroral cholangioscopy (POC) which permits direct visualization of the biliary tree has recently gained widespread clinical use for diagnosis and treatment of various pancreatobiliary diseases. But, there is currently little reliable data on evaluating the complications of POC. POC is associated with complications such as pancreatitis, cholangitis, hemorrhage, rarely air embolism, and ductal perforation. The incidence of complication during POC is 2.9-12%. However, pneumoperitoneum due to intrahepatic bile duct perforation after POC has not yet been reported in Korea. We report a case of pneumoperitoneum after POC which has been successfully managed with endoscopic nasobiliary drainage and antibiotics.

Keyword

Peroral cholangioscopy; Pneumoperitoneum; Bile duct perforation; Common bile duct stone; Electrohydraulic lithotripsy

MeSH Terms

Anti-Bacterial Agents
Bile Ducts, Intrahepatic*
Biliary Tract
Cholangitis
Diagnosis
Drainage
Embolism, Air
Hemorrhage
Incidence
Korea
Pancreatitis
Pneumoperitoneum
Anti-Bacterial Agents