Pneumoperitoneum following percutaneous biliary intervention: not necessarily a cause for alarm.
Amonkar, Suraj J Laasch, Hans-Ulrich
Amonkar, Suraj J
Laasch, Hans-Ulrich
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Abstract
Percutaneous transhepatic cholangiography (PTC) is a well-established technique for assessing and treating obstructive jaundice. Plastic and self-expanding metal stents can be deployed as an alternative when ERCP is not feasible or hilar strictures require an antegrade approach. Complication rates of percutaneous procedures are low, and are usually related to bile leakage or hemorrhage; pneumoperitoneum following PTC is rare and is usually taken to indicate bowel perforation. We describe two cases of pneumoperitoneum without peritonitis following PTC and stenting, both of which resolved spontaneously with conservative management. The literature is reviewed and possible causes discussed.
Description
Date
2009-04-21T16:31:30Z
Publisher
Keywords
Biliary Tract Cancer
Biliary Drainage
Complications
Biliary Drainage
Complications
Type
Article
Citation
Pneumoperitoneum following percutaneous biliary intervention: not necessarily a cause for alarm., 31 (2):439-43 Cardiovasc Intervent Radiol