Benign pneumoperitoneum developed after endoscopic biliary metallic stent placement with the rendezvous procedure

Hui, Yee Tak; Lam, Wai Ming; Lam, Ting Wa; Cheung, Wai Ching; Sze, Shun Fung; Wong, Chi Tak

doi:10.1016/j.gie.2007.05.045

Cited by 11 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…99 Similarly, a percutaneousendoscopic rendezvous procedure allows air to escape outside or around a percutaneous transhepatic puncture site from the endoscopic procedure and/or biliary sphincterotomy. 100 Finally, after ERCP with biliary sphincterotomy and/or stent placement for treatment of a bile leak, air introduced during the procedure can escape from the leak and into the abdomen. 101 Abdominal films often are obtained in such patients to evaluate post-procedural pain.…”

Section: Biliary Tract Perforationmentioning

confidence: 99%

A comprehensive approach to the management of acute endoscopic perforations (with videos)

Baron

Song

Zielinski

et al. 2012

Gastrointestinal Endoscopy

132

View full text Add to dashboard Cite

Section: Biliary Tract Perforationmentioning

confidence: 99%

A comprehensive approach to the management of acute endoscopic perforations (with videos)

Baron

Song

Zielinski

et al. 2012

Gastrointestinal Endoscopy

132

View full text Add to dashboard Cite

“…Lee et al [1] and Amonkar et al [2] have reported pneumoperitoneum and peritonitis caused by transhepatic air and bile leakage after metallic biliary stent placement. Hui et al [3] have reported benign pneumoperitoneum (pneumoperitoneum without peritonitis) in patients who underwent a rendezvous procedure with PTBD and endoscopic biliary stenting. Chuang et al [4] reported pneumoperitoneum and mild peritonitis after PTBD tube placement and CBD stone removal associated with the rendezvous procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Chuang et al [4] reported pneumoperitoneum and mild peritonitis after PTBD tube placement and CBD stone removal associated with the rendezvous procedure. The PTBD tube was removed at the same time in three cases [1,3,4], one day later in one case [2], and four days later in one case [2], suggesting that early removal of the PTBD tube was a contributory factor. In the current patient, we performed endoscopic procedures with an indwelling PTBD tube and a wide biliary stent placed across the papilla.…”

Section: Discussionmentioning

confidence: 99%

Pneumoperitoneum after Endoscopic Duodenal Stent Insertion in a Patient with Percutaneous Transhepatic Biliary Drainage and Biliary Stent: A Case Report

Choi

Lee

et al. 2019

Clin Endosc

View full text Add to dashboard Cite

Early removal of a percutaneous transhepatic biliary drainage (PTBD) tube commonly causes pneumoperitoneum. However, we encountered a patient who developed pneumoperitoneum even with an indwelling PTBD tube. An 84-year-old man was admitted with type III combined duodenal and biliary obstruction secondary to metastatic bladder cancer. A biliary stent was placed using a percutaneous approach, and a duodenal stent was placed endoscopically. A large amount of subphrenic free air was detected after the procedures. Laboratory tests indicated intestinal perforation; however, peritoneal signs were absent. The patient was treated conservatively using an indwelling Levin tube. Seven days later, the massive amount of subphrenic free air disappeared. Follow-up tubography revealed unrestricted bile flow into the small intestine, and the PTBD tube was removed. Prolonged endoscopic procedures in patients with a PTBD tract communicating with the gastrointestinal tract can precipitate pneumoperitoneum. Clinicians should be careful to avoid misdiagnosing this condition as intestinal perforation.

show abstract

“…There are only scarce reports on benign pneumoperitoneum successfully managed with conservative treatment after endoscopic biliary procedures [9] . Regarding the management of ERCP-related duodenal perforations, arguments have been made about both surgical [10][11][12] and non-surgical management [13] .…”

Section: Discussionmentioning

confidence: 99%

A rare etiology of post-endoscopic retrograde cholangiopancreatography pneumoperitoneum

Assimakopoulos¹,

Thomopoulos²,

Giali³

et al. 2008

WJG

View full text Add to dashboard Cite

An 84-year-old woman with a past medical history of a carcinoma of the head of the pancreas with hepatic and lung metastases, who underwent an ERCP with stent placement because of obstructive jaundice at the time of diagnosis two months ago, was admitted again to our department because of icterus.At admission, physical examination was unremarkable except for the presence of skin and conjunctival icterus. Initial laboratory evaluation confirmed the cholestatic CASE REPORT

show abstract

Benign pneumoperitoneum developed after endoscopic biliary metallic stent placement with the rendezvous procedure

Cited by 11 publications

References 7 publications

A comprehensive approach to the management of acute endoscopic perforations (with videos)

A comprehensive approach to the management of acute endoscopic perforations (with videos)

Pneumoperitoneum after Endoscopic Duodenal Stent Insertion in a Patient with Percutaneous Transhepatic Biliary Drainage and Biliary Stent: A Case Report

A rare etiology of post-endoscopic retrograde cholangiopancreatography pneumoperitoneum

Contact Info

Product

Resources

About