Table of Contents    
Case Report
 
Post-endoscopic retrograde cholangiopancreatography pneumomediastinum caused by probing a pseudopapilla: Case report of a rare complication treated conservatively
Justin Michael Cloutier1, Donald Rudy Duerksen2
1MD, B.Sc, Department of Internal Medicine, University of Manitoba, Winnipeg, MB.
2MD FRCPC, Department of Internal Medicine, Section of Gastroenterology, University of Manitoba, Winnipeg, MB.

Article ID: 100039IJHPDJC2015
doi:10.5348/ijhpd-2015-39-CR-14

Address correspondence to:
Dr. Donald R Duerksen
Department of Medicine, Division of Gastroenterology
C5120 409 Tache Ave, St. Boniface Hospital Winnipeg
Manitoba
Canada R2H 2A6
Phone: (204) 237-2796
Fax: (204) 233-7154

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How to cite this article:
Cloutier JM, Duerksen DR. Post-endoscopic retrograde cholangiopancreatography Pneumomediastinum Caused by Probing a pseudopapillary: Case report of a rare complication treated conservatively. Int J Hepatobiliary Pancreat Dis 2015;5:82–85.


Abstract
Introduction: Pneumomediastinum and subcutaneous emphysema have rarely been reported to occur as a result of duodenal perforation from Endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy.
Case Report: In this report, we describe a case of pneumomediastinum associated with ERCP. There was no evidence of duodenal or esophageal perforation on imaging and the patient was treated conservatively with full recovery.
Conclusion: In the absence of frank perforation, pneumomediastinum and subcutaneous emphysema are rare complications of ERCP that can be managed conservatively with fasting, intravenous fluids and antibiotics.

Keywords: Endoscopic retrograde cholangiopancreatography (ERCP) complications, Esophageal perforation, Pneumomediastinum


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Author Contributions
Justin Michael Cloutier – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Donald Rudy Duerksen – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Justin Michael Cloutier et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.