Korean J Pancreas Biliary Tract.
2016 Jan;21(1):55-60. 10.15279/kpba.2016.21.1.55.
Intramural Duodenal Hematoma after Transpancreatic Septotomy during ERCP: A Case Report and Literature Review
- Affiliations
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- 1Department of Internal Medicine, Inje University Ilsan Paik Hospital, College of Medicine Inje University, Goyang, Korea. whpaik@paik.ac.kr
- KMID: 2448514
- DOI: http://doi.org/10.15279/kpba.2016.21.1.55
Abstract
- Transpancreatic septotomy is known to improve the success rate of selective bile duct cannulation in endoscopic retrograde cholangiopancreatography. Recent retrospective study reported that transpancreatic septotomy is more effective and safer than needle knife sphincterotomy. Herein, we report a case of patient with gallstone pancreatitis who suffered from intramural duodenal hematoma after transpancreatic septotomy that caused obstruction of the duodenum and hypovolemic shock. The intramural hematoma improved after conservative management. The rare adverse event such as intramural duodenal hematoma seems to be considered after transpancreatic septotomy, especially when acute pancreatitis is accompanied.
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