Pneumothorax Following ERCP: Report of Four Cases and Review of the Literature

Nicolien Schepers; Henk van Buuren

doi:10.1007/s10620-012-2150-3

Pneumothorax Following ERCP: Report of Four Cases and Review of the Literature

Nicolien Schepers
, Henk van Buuren

Gastroenterology & Hepatology

External organisation

Research output: Contribution to journal › Article › Academic › peer-review

22 Citations (Scopus)

Abstract

We report four patients with pneumothorax as a complication of ERCP with sphincterotomy. With conservative treatment all patients recovered. Previously, 16 comparable cases have been reported in the literature. The main risk factor for this rare complication seems (pre-cut) sphincterotomy. Pneumothorax is usually right-sided or bilateral and accompanied by pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema. The prognosis seems favourable with a non-surgical approach including intravenous antibiotics, fasting and when indicated chest tube drainage.

Original language	Undefined/Unknown
Pages (from-to)	1990-1995
Number of pages	6
Journal	Digestive Diseases & Sciences
Volume	57
Issue number	8
DOIs	https://doi.org/10.1007/s10620-012-2150-3
Publication status	Published - 2012

Research programs

EMC MM-04-20-01
EMC MM-04-20-02-A

Access to Document

10.1007/s10620-012-2150-3

http://hdl.handle.net/1765/37827

Cite this

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title = "Pneumothorax Following ERCP: Report of Four Cases and Review of the Literature",

abstract = "We report four patients with pneumothorax as a complication of ERCP with sphincterotomy. With conservative treatment all patients recovered. Previously, 16 comparable cases have been reported in the literature. The main risk factor for this rare complication seems (pre-cut) sphincterotomy. Pneumothorax is usually right-sided or bilateral and accompanied by pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema. The prognosis seems favourable with a non-surgical approach including intravenous antibiotics, fasting and when indicated chest tube drainage.",

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AB - We report four patients with pneumothorax as a complication of ERCP with sphincterotomy. With conservative treatment all patients recovered. Previously, 16 comparable cases have been reported in the literature. The main risk factor for this rare complication seems (pre-cut) sphincterotomy. Pneumothorax is usually right-sided or bilateral and accompanied by pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema. The prognosis seems favourable with a non-surgical approach including intravenous antibiotics, fasting and when indicated chest tube drainage.

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