| Tension pneumothorax complicating endoscopic retrograde cholangiopancreatography: case report and systematic literature review. | |
| | |
MedLine Citation:
|
PMID: 21515213 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Perforation of the duodenum, which is usually retroperitoneal, is a known complication of endoscopic retrograde cholangiopancreatography (ERCP). Association of the duodenal perforation with pneumothorax is rare and the development of tension pneumothorax is even rarer. We report a case of tension pneumothorax following an ERCP, which we successfully treated with chest tube insertion and laparotomy, and systematically review the other 10 cases reported in the literature. Four of these 10 cases had tension pneumothorax. All were to the right side of the chest. Patients were mainly female (7/10). The median (range) age was 70.5 (55-89) years. Four patients required surgery (40%) and one patient, who was not operated on, died (10%). Clinicians should be aware of this serious complication. Unexplained chest pain, dyspnoea, and oxygen desaturation with abdominal distension during ERCP must raise this possibility. Early clinical recognition and prompt management is essential to improve the outcome. |
| | |
Authors:
|
Yousef I Al-Ashaal; Ashraf F Hefny; Farouk Safi; Fikri M Abu-Zidan |
Related Documents
:
|
2516773 - Abdominal aortic dissection with retrograde extension into the thoracic aorta: case rep... 15194983 - Amplatzer muscular vsd occluder for catheter closure of a 20 mm hypertensive patent duc... 19335473 - Ectoparasitic dermatitis in free-ranging swamp wallabies (wallabia bicolor) in new sout... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Asian journal of surgery / Asian Surgical Association Volume: 34 ISSN: 1015-9584 ISO Abbreviation: Asian J Surg Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-04-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8900600 Medline TA: Asian J Surg Country: China |
Other Details:
|
Languages: eng Pagination: 46-9 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Asian Surgical Association. Published by Elsevier B.V. All rights reserved. |
Affiliation:
|
Department of Surgery, Al-Ain Hospital, Al-Ain, United Arab Emirates. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Distraction arthroplasty of the trapeziometacarpal joint without trapeziectomy.
Next Document: Reactive hypertrophy of an accessory spleen mimicking tumour recurrence of metastatic renal cell car...