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Endoscopia

On-line version ISSN 2444-6483Print version ISSN 0188-9893

Abstract

PENA-PORTILLO, Guadalupe K. et al. Post-ERCP necrotizing pancreatitis and duodenal perforation: case report. Endoscopia [online]. 2021, vol.33, n.4, pp.158-161.  Epub Oct 31, 2022. ISSN 2444-6483.  https://doi.org/10.24875/end.22000022.

Introduction:

Endoscopic retrograde colangiopancreatography (ERCP) is an effective diagnostic-therapeutic procedure, associated to several complications.

Objective:

To describe a case report presenting two concomitant post-ERCP complications.

Methods:

A 65-year-old male presented with a previous history of cholecystectomy, common bile duct (CBD) exploration and T-tube placement, in whom was performed ERCP with difficult cannulation, Rendezvous technique and CBD stone extraction with balloon, presenting acute abdomen.

Results:

Findings of laparotomy included pancreatic necrosis. During his evolution he developed a pancreatic fistula with positive evolution and hospital discharge.

Conclusions:

Severe complications may present concomitantly despite preventive measures.

Keywords : Pancreatitis; Duodenum perforation; ERCP; Rendezvous.

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