Unusual ERCP complication
Jan Valkovský1, J. Vrána1, J. Šmíd1, J. Kraus1, Petr Kovala2, Milan Kremer2, Branislav Šnajder3, O. Kuchyňa4
1 Interní oddělení, Městská nemocnice Ostrava, p. o.
2 Interna, Městská nemocnice Ostrava, p. o.
3 Chirurgické oddělení, Městská nemocnice Ostrava, p. o.
4 Oddělení anesteziologie a resuscitace, Městská nemocnice Ostrava, p. o.
We present the case of a 68-year-old female patient sent by her GP for an ERCP because of a sonographic finding of biliary dilation with choledocholithiasis. Our patient underwent open cholecystectomy in 2002, the operation was complicated by a leakage of d. cysticus resolved by ERCP with an installation of a biliary stent. The patient did not comply with ambulatory dispensarisation, therefore the stent was left in the biliary tract for more than ten years. Extraction of the stent during ERCP immediately led to cardiorespiratory distress in the patient. A new biliary stent was introduced without delay. An urgent CT scan revealed a massive bilateral pneumothorax as a result of post-ERCP perforation.
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