Year 2023 / Volume 115 / Number 4
Letter
Endoscopic management of an iatrogenic duodenal perforation and choledocholithiasis in the same endoscopic retrograde cholangiopancreatography session

218-219

DOI: 10.17235/reed.2023.9339/2022

Carlos Castaño-Milla, Cristina Cuadrado-Tiemblo, Elena Resina Sierra, José Antonio Olmos-Jerez, Carlos Chavarría,

Abstract
We present the case of a 67-year-old female with recent cholecystectomy for symptomatic cholelithiasis. She was admitted to our hospital with right upper quadrant abdominal pain and vomiting. Laboratory analysis revealed hyperbilirubinemia with cytolysis and cholestasis. Abdominal ultrasound revealed a choledocholithiasis of 8 mm. Endoscopic retrograde cholangiopancreatography (ERCP) was scheduled. With the duodenoscope, after the reduction maneuver from the second duodenal portion to face the major papilla, a perforation of approximately 18 mm was identified in the contralateral wall distal to it. A gastroscope identified the perforation and a 9.5-11 x 6 mm over-the-scope-clip (OTSC) was placed after inserting its edges into the cap with aspiration (without approximation forceps).
Share Button
New comment
Comments
No comments for this article
References
1. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-8.
2. González Valverde FM, Fernández López AJ. Management of duodenal perforations after endoscopic retrograde cholangiopancreatography. Rev Esp Enferm Dig. 2019;111(4):331-
3. Avgerinos DV, Llaguna OH, Lo AY, et al. Management of endoscopic retrograde cholangiopancreatography: related duodenal perforations. Surg Endosc. 2009;23(4):833-8.
4. Leal T, Gonçalves B, Ferreira A. Endoscopic resolution of a duodenal perforation due to a pancreatic stent. Rev Esp Enferm Dig. 2021;113(5):383.
5. Paspatis GA, Arvanitakis M, Dumonceau JM, et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement - Update 2020. Endoscopy. 2020;52(9):792-810.
Related articles

Digestive Diseases Image

Traumatic biliary fistula with bile duct disconnection

DOI: 10.17235/reed.2024.10096/2023

Letter

Hematoma post-endoscopic retrograde cholangiopancreatography

DOI: 10.17235/reed.2023.9670/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Digestive Diseases Image

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Letter

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Citation tools
Castaño-Milla C, Cuadrado-Tiemblo C, Resina Sierra E, Olmos-Jerez J, Chavarría C. Endoscopic management of an iatrogenic duodenal perforation and choledocholithiasis in the same endoscopic retrograde cholangiopancreatography session. 9339/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1315 visits.
This article has been downloaded 95 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 08/11/2022

Accepted: 31/12/2022

Online First: 16/01/2023

Published: 03/04/2023

Article revision time: 53 days

Article Online First time: 69 days

Article editing time: 146 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology