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Medline ® Abstract for Reference 117

of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'

Pseudobowel perforation following endoscopic retrograde cholangiopancreatography.
Singh V, Singh G, Verma GR, Yadav TD, Gupta V
Dig Dis Sci. 2013 Jun;58(6):1781-3. Epub 2013 Jan 30.
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.
Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. virendrasingh100@hotmail.com