Subcutaneous emphysema of the penis and scrotum mimicking gas gangrene: a rare complication of ERCP

Generalized Subcutaneous Emphysema Caused by Injection of Air into the Penis for Autoerotic Purposes

“…The air spreads from the destroyed alveoli via the mediastinum downwards along the fasciae, the perirenal area and the retroperitoneum to the inguinal canal and the scrotum [1, 2]. Other causes of pneumoscrotum can be endoscopic operations, visceral perforation, emphysematous pyelonephritis or, as in the case treated here, artificial trauma followed by inflation of air for autoerotic purposes [3, 4, 5]. …”

Successful Conservative Treatment of an Elderly Patient With an Ercp-Related Duodenal Perforation Associated With Widespread Subcutaneous Emphysema

“…We searched the literature to identify cases of pneumothorax due to duodenal perforation that were successfully treated conservatively ( Borgharia et al, 2011 ; Schepers & van Buuren, 2012 ). Unfortunately, the patient also suffered from complications due to pancreatitis.…”

An unusual complication during papillotomy: Breaking of papillotome cutting wire and its subsequent penetration of papilla

“…The more common complications include pancreatitis, hemorrhage, perforation, cholangitis, and cholecystitis. The rare complications include subcutaneous emphysema; [3] pneumothorax, pneumomediastinum, pneumoperitoneum; [4] migration of stents; [5] systemic air embolism; [6] portobiliary fistula; [7] placement of ENBD in portal vein; [8] basket impaction and breakage of basket. [9] However, breakage of papillotome cutting wire and its subsequent papillary injury is not reported to our knowledge.…”