Document Detail

Pneumoperitoneum following percutaneous biliary intervention: not necessarily a cause for alarm.
MedLine Citation:
PMID:  18066618     Owner:  NLM     Status:  MEDLINE    
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.
Suraj J Amonkar; Hans-Ulrich Laasch; Juan W Valle
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-12-07
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  439-43     Citation Subset:  IM    
Manchester Radiology Training Scheme, University of Manchester, Manchester, M13 9PL, UK.
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MeSH Terms
Biliary Tract Neoplasms / complications
Constriction, Pathologic
Contrast Media
Duodenal Obstruction / etiology,  radiography,  therapy*
Jaundice, Obstructive / therapy*
Middle Aged
Palliative Care
Pneumoperitoneum / etiology*,  radiography
Tomography, X-Ray Computed
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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