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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...

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Autores principales: Khan, Mohammad Saud, Jamal, Faisal, Khan, Zubair, Tiwari, Abhinav, Simo, Hermann, Sharma, Himani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
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.
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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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