Duodenal perforation due to barotrauma during endoscopic retrograde cholangiopancreatography. Clinical case

Abstract

Introduction: Duodenal perforation during endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication and even more if the mechanism of injury is secondary to barotrauma. The injection of high-pressure-air produces a pneumo-retroperitoneum, the extent and lesional evolution of which is uncertain.

Clinical Case: We report the case of a young man who suffered a duodenal perforation during an ERCP, his surgical management and evolution.

Discussion: The clinical-imaging diagnosis is usually early and clear if the lesion is detected during the procedure. Its conservative or surgical management will depends on several factors that are analyzed in the present study.