Korean J Pancreas Biliary Tract.  2019 Jan;24(1):40-46. 10.15279/kpba.2019.24.1.40.

Two Cases of Successful ERCP during ERCP-Related Iatrogenic Duodenal Perforation

• Ryu H
• Kim H
• Park C
• Jung J
• Chung Y
• Lee J
• Kim D

• KMID: 2448658
• DOI: http://doi.org/10.15279/kpba.2019.24.1.40

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP)-related perforations of the duodenum are rare but serious complications. Some ERCP-related perforations can be successfully managed without surgery. However, the presence of duodenal perforation may lead to premature termination of the ERCP and need for additional procedure such as percutaneous biliary drainage. If the ERCP-related perforation is identified early during the procedure, primary closure of the perforation can be attempted first or after completion of ERCP. We report two cases of duodenal perforation during ERCP in which ERCP was successfully completed after primary closure of the perforation.

Keyword

Intestinal perforation; Endoscopic retrograde cholangiopancreatography; Clips

MeSH Terms

Cholangiopancreatography, Endoscopic Retrograde*
Drainage
Duodenum
Intestinal Perforation