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ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum
Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abd...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836279/ https://www.ncbi.nlm.nih.gov/pubmed/29515338 http://dx.doi.org/10.1159/000485557 |
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author | Khan, Mohammad Saud Jamal, Faisal Khan, Zubair Tiwari, Abhinav Simo, Hermann Sharma, Himani |
author_facet | Khan, Mohammad Saud Jamal, Faisal Khan, Zubair Tiwari, Abhinav Simo, Hermann Sharma, Himani |
author_sort | Khan, Mohammad Saud |
collection | PubMed |
description | Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care. |
format | Online Article Text |
id | pubmed-5836279 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-58362792018-03-07 ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum Khan, Mohammad Saud Jamal, Faisal Khan, Zubair Tiwari, Abhinav Simo, Hermann Sharma, Himani Case Rep Gastroenterol Case and Review Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care. S. Karger AG 2018-01-05 /pmc/articles/PMC5836279/ /pubmed/29515338 http://dx.doi.org/10.1159/000485557 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Case and Review Khan, Mohammad Saud Jamal, Faisal Khan, Zubair Tiwari, Abhinav Simo, Hermann Sharma, Himani ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title | ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title_full | ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title_fullStr | ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title_full_unstemmed | ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title_short | ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum |
title_sort | ercp-related duodenal perforation presenting as pneumoscrotum |
topic | Case and Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836279/ https://www.ncbi.nlm.nih.gov/pubmed/29515338 http://dx.doi.org/10.1159/000485557 |
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