ERCP, Duodenal perforation, Pneumothorax"/> A Case of Tension Pneumothorax Complicating Duodenal Microperforation after ERCP
Korean J Gastrointest Endosc > Volume 34(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(5): 282-285.
내시경역행성담췌관조영술 후 십이지장 미세천공에 합병된 긴장성 기흉 1예
이호학·이상협·우상명·유지원·박주경·류지곤·김용태·윤용범
서울대학교 의과대학 내과학교실, 간연구소
A Case of Tension Pneumothorax Complicating Duodenal Microperforation after ERCP
Ho Hak Lee, M.D., Sang Hyub Lee, M.D., Sang Myung Woo, M.D., Ji Won Yoo, M.D., Joo Kyoung Park, M.D., Ji Kon Ryu, M.D., Yong-Tae Kim, M.D. and Yong Bum Yoon, M.D.
Department of Internal Medicine, Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) has become a commonly performed endoscopic procedure for the diagnosis and treatment of pancreatobiliary disease. ERCP is a relatively safe procedure. However, there are chances of potentially severe complications such as pancreatitis, hemorrhage, infection and perforation. Duodenal perforation is an uncommon, but serious complication of ERCP, and this has occurred in 0.3 to 1.1% of most of the previous series. There are various clinical course and treatments depending on the cause of perforation. However, the development of pneumothorax in patients undergoing ERCP is rare. There are no reports of tension pneumothorax complicating ERCP in Korea. We experienced a case of tension pneumothorax with complicating duodenal microperforation following ERCP, and the patient (a 77 year old female with suspicious dysfunction of the sphincter of Oddi) was treated with conservative treatment. (Korean J Gastrointest Endosc 2007;34:282⁣285)
Key Words: ERCP, Duodenal perforation, Pneumothorax
주요어: 내시경역행성담췌관조영술, 십이지장 천공, 기흉
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