Gallstone ileus and bowel perforation: a rare complication of therapeutic ERCP.
نویسندگان
چکیده
Gallstone ileus is rare following an Endoscopic Retrograde Cholangio-Pancreaticography (ERCP). We present a case where gallstones caused ileus and perforation of small bowel after a therapeutic ERCP. There was no previous history of instrumentation of the papilla or a cholecystoenteric fistula. This case points out a serious morbidity of therapeutic ERCP for large common bile duct stones.
منابع مشابه
Jejunal diverticular perforation due to gallstone ileus.
Gallstone ileus is an uncommon cause of small bowel obstruction, mainly affecting elderly patients. The most common cause is impaction of a stone in the ileum after passing through a biliary-enteric fistula (1). Jejunal perforation is a rare complication of gallstone ileus. We present a case of jejunal diverticular perforation secondary to gallstone ileus, produced by diverticulum wall necrosis...
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with endoscopic sphincterotomy is the treatment of choice for common bile duct (CBD) stones. The complication rate is 5-10% with a mortality rate between 0.5-1.0%. Post-ERCP complications are usually apparent within three days of the procedure, and rarely present after the 12 day. Pancreatitis and bleeding are the most common complication. Gallstone ileus after ERCP with CBD removal is exceedin...
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عنوان ژورنال:
- JPMA. The Journal of the Pakistan Medical Association
دوره 57 7 شماره
صفحات -
تاریخ انتشار 2007