Skip to main content
SpringerLink
Log in

Duodenal perforation and bilateral tension pneumothorax following endoscopic sphincterotomy

  • Short Communication
  • Published:
Journal of Anesthesia Aims and scope Submit manuscript

Abstract

Endoscopic sphincterotomy is commonly used for retained bile stones. We report a 24-year-old woman who showed bilateral tension pneumothorax and duodenal perforation following endoscopic sphincterotomy performed under sedation. These complications are rare in the literature have significant mortality and morbidity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Sherman S, Gottlieb K, Lehman G. Therapeutic biliary endoscopy. Endoscopy. 1994;26:93–112.

    Article  PubMed  CAS  Google Scholar 

  2. Freeman M, Nelson D, Sherman S, Harber GB, Herman ME, Dorsher JP, Moore JP, Fennerty MB, Ryan ME, Shaw MJ, Lande JD, Pheley AM. Complications of endoscopic biliary sphincterotomy. N Engl J Med. 1996;335:909–918.

    Article  PubMed  CAS  Google Scholar 

  3. Hui C-K, Lai K-C, Yuen M-F, Lam S-K. Tension pneumothorax complicating ERCP in a patient with a Billroth II gastrectomy. Gastrointest Endosc. 2001;54:254–256.

    PubMed  CAS  Google Scholar 

  4. Gya D, Sali A, Angus D. Subcutaneous emphysema and pneumothorax following endoscopic sphincterotomy. Aust N Z J Surg. 1989;59:900–902.

    Article  PubMed  CAS  Google Scholar 

  5. Scarlett PY, Falk GL. The management of perforation of the duodenum following endoscopic sphincterotomy: a proposal for selective therapy. Aust N Z J Surg. 1994;64:843–846.

    Article  PubMed  CAS  Google Scholar 

  6. Morley AP, Lau JYW, Young RJ. Tension pneumothorax complicating a perforation of a duodenal ulcer during ERCP with endoscopic sphincterotomy. Endoscopy. 1997;29:332.

    Article  PubMed  CAS  Google Scholar 

  7. Lim A, Ling R, Diggory R, Copeland G. Perforation of an abdominal viscus associated with a pneumothorax. Br J Clin Pract. 1992;46:141–142.

    PubMed  CAS  Google Scholar 

  8. Kuhlman JE, Fishman EK, Milligan FD, Siegelman SS. Complications of endoscopic retrogade sphincterotomy: computed tomographic evaluation. Gastrointest Radiol. 1989;14:127–132.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology, Dokuz Eylul University, School of Medicine, Izmir, Turkey

    Leyla Iyilikci, Esra Duran & Huriye Begburs Sarikaya

  2. Division of Gastroenterology, Dokuz Eylul University, School of Medicine, Izmir, Turkey

    Mesut Akarsu

  3. Department of Surgery, Dokuz Eylul University, School of Medicine, Izmir, Turkey

    Banu Biyikli

Authors
  1. Leyla Iyilikci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mesut Akarsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Esra Duran
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Huriye Begburs Sarikaya
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Banu Biyikli
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Iyilikci, L., Akarsu, M., Duran, E. et al. Duodenal perforation and bilateral tension pneumothorax following endoscopic sphincterotomy. J Anesth 23, 164–165 (2009). https://doi.org/10.1007/s00540-008-0710-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00540-008-0710-7

Key words

Search

Navigation