Bilateral pneumothorax following endoscopic retrograde cholangiopancreatography: a case report

Cervicofacial subcutaneous emphysema and pneumomediastinum after retinal detachment surgery: just another monitored anesthesia eye case

“…Tissue swelling with crepitus on palpation are hallmark signs. This complication has been a documented sequela in a wide variety of surgeries and procedures, including various types of dental procedures, colonoscopy, shoulder arthroscopy, tonsillectomy, throidectomy, laparoscopy, endoscopic retrograde pancreatocholangiogram, cricothyrotomy, electroconvulsive therapy, endotracheal intubation, and positive pressure ventilation (PPV) [3][4][5][6][7][8][9][10][11][12][13]. A recent review of the dental and surgical literature showed cases of SQ emphysema often being linked to the use of air-driven powered devices, CO2 lasers, NO2 cryotherapy, and endotracheal intubation and PPV [2].…”

Massive Subcutaneus Emphysema following Endoscopic Retrograde Cholangiopancreatography with Sphincterotomy

“…The presence of subcutaneous emphysema after an ERCP is a rare but well-recognized complication [5, 10, 11]. The most common cause is duodenal perforation which results in retroperitoneal collection of free air [4, 5, 12].…”

“…The most common cause is duodenal perforation which results in retroperitoneal collection of free air [4, 5, 12]. However even in the absence of an obvious perforation ERCP is well correlated with the evidence of retroperitoneal air, which is not an uncommon finding on CT scans when performed after ERCP [1].…”

“…There is general consensus that ERCP should be performed for specific indications, by trained endoscopists, using standard techniques with careful monitoring of the patient during and after the procedure [2, 3]. Although nowadays it is routinely used and is considered to be a safe procedure, especially in expert hands [1], it still carries significant morbidity [4, 5]. Even in most experienced centres common complications such as pancreatitis (3.2%), duodenal or common bile duct perforation (0.12%), haemorrhage (0.62%), infection (0.75%) and general cardiac and pulmonary complications (0.25%) may occur [6].…”

Pneumoretroperitoneum und beidseitiger Pneumothorax nach endoskopischer Sphinkterotomie

“…Ein bilateraler Pneumothorax wurde bislang erst zweimal in der Literatur beschrieben [11,15]. Mehrheitlich liegt eine retroperitoneale Perforation des Duodenums oder DHC ursächlich zugrunde, deren Häufigkeit in der Literatur zwischen 0,3% und 1,3% angegeben wird [4,10,16].…”