Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report

BACKGROUND: The presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space. CASE PRESENTATION: We report an unusual...

Descripción completa

Detalles Bibliográficos
Autores principales: Alexiou, Konstantinos, Sakellaridis, Timothy, Sikalias, Nikolaos, Karanikas, Ioannis, Economou, Nikolaos, Antsaklis, Giorgios
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646692/
https://www.ncbi.nlm.nih.gov/pubmed/19192290
http://dx.doi.org/10.1186/1757-1626-2-120
_version_ 1782164877324845056
author Alexiou, Konstantinos
Sakellaridis, Timothy
Sikalias, Nikolaos
Karanikas, Ioannis
Economou, Nikolaos
Antsaklis, Giorgios
author_facet Alexiou, Konstantinos
Sakellaridis, Timothy
Sikalias, Nikolaos
Karanikas, Ioannis
Economou, Nikolaos
Antsaklis, Giorgios
author_sort Alexiou, Konstantinos
collection PubMed
description BACKGROUND: The presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space. CASE PRESENTATION: We report an unusual case of a self-limited subcutaneous emphysema, pneumomediastinum and pneumoperitoneum following an unsuccessful ERCP for removal of a common bile duct stone. CONCLUSION: There was no radiological evidence of peritoneal or retroperitoneal perforation. This complication is distinct from pneumomediastinum and pneumoperitoneum due to perforation, and must be recognized, because it is benign and needs no surgical or radiological intervention.
format Text
id pubmed-2646692
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-26466922009-02-24 Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report Alexiou, Konstantinos Sakellaridis, Timothy Sikalias, Nikolaos Karanikas, Ioannis Economou, Nikolaos Antsaklis, Giorgios Cases J Case Report BACKGROUND: The presence of subcutaneous emphysema, pneumomediastinum and pneumoperitoneum simultaneously is a rare complication of upper gastrointestinal endoscopy that usually indicates free perforation to the peritoneal cavity or the retroperitoneal space. CASE PRESENTATION: We report an unusual case of a self-limited subcutaneous emphysema, pneumomediastinum and pneumoperitoneum following an unsuccessful ERCP for removal of a common bile duct stone. CONCLUSION: There was no radiological evidence of peritoneal or retroperitoneal perforation. This complication is distinct from pneumomediastinum and pneumoperitoneum due to perforation, and must be recognized, because it is benign and needs no surgical or radiological intervention. BioMed Central 2009-02-03 /pmc/articles/PMC2646692/ /pubmed/19192290 http://dx.doi.org/10.1186/1757-1626-2-120 Text en Copyright ©2009 Alexiou et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Alexiou, Konstantinos
Sakellaridis, Timothy
Sikalias, Nikolaos
Karanikas, Ioannis
Economou, Nikolaos
Antsaklis, Giorgios
Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title_full Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title_fullStr Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title_full_unstemmed Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title_short Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ERCP: a case report
title_sort subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after unsuccessful ercp: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2646692/
https://www.ncbi.nlm.nih.gov/pubmed/19192290
http://dx.doi.org/10.1186/1757-1626-2-120
work_keys_str_mv AT alexioukonstantinos subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport
AT sakellaridistimothy subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport
AT sikaliasnikolaos subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport
AT karanikasioannis subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport
AT economounikolaos subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport
AT antsaklisgiorgios subcutaneousemphysemapneumomediastinumandpneumoperitoneumafterunsuccessfulercpacasereport

Ejemplares similares