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Lien, H.H., Huang, C.S., Shi, M.Y., Chen, D.F., Wang, N.Y., Tai, F.C., et al. (2004) Management of bile leakage after laparoscopic cholecystectomy based on etiological classification. Surgery Today, 34, 326-330. doi:10.1007/s00595-003-2712-2

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• TITLE: Perforation of the duodenum during the retrograde cholangiopancreatography treated without surgery

  AUTHORS: Akira Tsuji, Daisuke Hashimoto, Tetsu Ozaki, Akira Chikamoto, Toru Beppu, Hideo Baba

  KEYWORDS: ERCP; Complication; Perforation; Conservative Therapy

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.1 No.2, December 21, 2012

  ABSTRACT: Perforation after endoscopic retrograde cholan- giopancreatography (ERCP) is a rare but severe complication. Management of ERCP-associated duodenal perforation remains controversial. Some recommend surgery, while others recommend conservative treatment. We describe the case who developed perforation of the duodenum and gas in the retroperitoneal cavity after ERCP. There was no sign of peritonitis, pancreatitis or sepsis. The patient was treated by conservative therapy without operation, and finally, fully re- covered from perforation.