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Pseudobowel Perforation Following Endoscopic Retrograde Cholangiopancreatography

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Abstract

We report two cases of pneumoperitoneum following endoscopic retrograde cholangiopancreatography for retained common bile duct (CBD) stones. These post-cholecystectomy patients underwent sphincterotomy, CBD clearance, and “T” tube removal at the same time. Post-procedure, both of the patients developed pneumoperitoneum. Pneumoperitoneum developed as a result of air traversing from the duodenum to the peritoneum through the ruptured “T” tube tract. “T” tube removal in the same sitting as sphincterotomy and CBD clearance may lead to pneumoperitoneum, which can be managed conservatively.

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Authors and Affiliations

  1. Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    V. Singh

  2. Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    G. Singh, G. R. Verma, T. D. Yadav & V. Gupta

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  1. V. Singh
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  2. G. Singh
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  3. G. R. Verma
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  4. T. D. Yadav
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  5. V. Gupta
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Correspondence to V. Singh.

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Singh, V., Singh, G., Verma, G.R. et al. Pseudobowel Perforation Following Endoscopic Retrograde Cholangiopancreatography. Dig Dis Sci 58, 1781–1783 (2013). https://doi.org/10.1007/s10620-012-2538-0

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  • DOI: https://doi.org/10.1007/s10620-012-2538-0

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