Post-ERCP cholangitic liver abscess rupture causing Pneumo peritoneum: A unique case
Journal Title: Scholars Journal of Medical Case Reports - Year 2015, Vol 3, Issue 10
Abstract
Endoscopic retrograde cholangio-pancreatography is a procedure used for management of varied pancreato biliary disorders and biliary drainage. The occurrence of free air in the peritoneal cavity post-ERCP is a rare event (< 1%), which is usually the result of duodenal or ductal perforation related to therapeutic ERCP with sphincterotomy. We present a case of post ERCP pneumo peritoneum due to rupture of cholangitic abscess, which has never been described in the literature before. This case highlights the need of knowledge of pneumo peritoneum post ercp due to ruptured cholangitic abscess. Presence of pneumo peritoneum may give an impression of perforation of duodenum post ERCP and patient may be taken for Exploratory Laparotomy which can be otherwise tackled by just putting drains under local anaesthesia. These patients are having septicaemia and their condition is not good enough to sustain general anaesthesia. Keywords: ERCP, long standing indwelling biliary stent, Ruptured cholangitic abscess, Perforative peritonitis
Authors and Affiliations
Dr. Minakshi Gadahire, Dr. Sarika Mayekar, Dr. Prashant Rao, Dr. Mohan Joshi
Keywords
Related Articles
- EP ID EP376927
- DOI -
- Views 102
- Downloads 0
Fracture Femur: A Case Report
Abstract: Gilbert’s syndrome is a form of hereditary non-hemolytic jaundice transmitted by autosomal dominant pattern. Due to low glucuronyl transferase activity in the liver, there is a risk for toxicity towards various...
Juvenile Granulosa Cell Tumour as a Rare Cause of Isosexual Precocious Puberty in Achild: Case Report and Review of the Literature
Juvenile granulosa cell tumour is a rare cause of isosexual precocious puberty in children. Early diagnosis and surgical removal of the tumour is essential since the delay in treatment can result in malignant transforma...
Decubitus ulcer (pressure ulcer) in oral cavity and its Management- A rare case report
mucous membrane is the moist lining of body cavities that communicate with exterior. These tissues line the oral cavity, GI tract, nasal cavity, urinary tract and vaginal canal. Pressure applied to this tissue can render...
The Coexistence of a NonHodgkin with a Hodgkin's Lymphoma or a Single Disease?
Abstract: The presence of symptoms and clinical signs of activity and extranodal determination of a lymphoma are sometimes in contrast with the result of hystopathological examination which has showed a lymphoma with low...
A Case of a Penetrating Wound in the Abdominal Wall Induced By a Javelin Due To an Unusual Mechanism
This report aims to increase the awareness of an unusual mechanism of abdominal wall injury sustained by a javelin. A nineteen-old female was practicing to throw a Javelin forcefully by leaning forward. The Javelin erron...