Liver parenchyma perforation following endoscopic retrograde cholangiopancreatography

Hiroto Kayashima, Toru Ikegami, Yuta Kasagi, Gen Hidaka, Koji Yamazaki, Noriaki Sadanaga, Hiroyuki Itoh, Yasunori Emi, Hiroshi Matsuura, Kenichiro Okadome

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective modality for the diagnosis and treatment of biliary and pancreatic diseases, it is still related with several severe complications. We report on the case of a female patient who developed liver parenchyma perforation following ERCP. She underwent ERCP with sphincterotomy and extraction of a common bile duct stone. Shortly after ERCP, abdominal distension was identified. Abdominal computed tomography revealed intraabdominal air leakage and leakage of contrast dye penetrating the liver parenchyma into the space around the spleen. Since periampullary perforation related to sphincterotomy could not be denied, she was referred for immediate surgery. Obvious perforation could not be found at surgery. Cholecystectomy, insertion of a T tube into the common bile duct, placement of a duodenostomy tube and drainage of the retroperitoneum were performed. She did well postoperatively and was discharged home on postoperative day 28. In conclusion, as it is well recognized that perforation is one of the most serious complication related to ERCP, liver parenchyma perforation should be suspected as a cause.

Original languageEnglish
Pages (from-to)487-491
Number of pages5
JournalCase Reports in Gastroenterology
Issue number2
Publication statusPublished - May 2011

All Science Journal Classification (ASJC) codes

  • Gastroenterology


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