A CASE OF SYSTEMIC SUBCUTANEOUS EMPHYSEMA FOLLOWING ENDOSCOPIC SPHINCTEROTOMY

• MATSUDA Akihisa

  Department of Surgery, Chikusei City Hospital

• FURUYA Masaichi

  Department of Surgery, Chikusei City Hospital

• SHIMIZU Yasuhito

  Department of Surgery, Chikusei City Hospital

• OKINO Tetsuya

  Department of Surgery, Chikusei City Hospital

• ARAI Masao

  Department of Surgery, Chikusei City Hospital

• TAJIRI Takashi

  Surgery for Organ Function and Biological Regulation (Surgery 1), Graduate School of Medicine, Nippon Medical School

Bibliographic Information

Other Title

• 内視鏡的乳頭切開術により著明な全身性皮下気腫を呈した１例

Abstract

We report a case of systemic subcutaneous emphysema following endoscopic sphincterotomy (EST).<br> A 56-year-old woman was admitted to our hospital under a diagnosis of acute cholangitis due to common bile duct stones and cholecystitis. After EST, the patient developed retroperitoneal, mediastinal and systemic subcutaneous emphysema. After an unsuccessful emergency operation, the emphysema improved conservatively by hospital day 7. It is postulated that the emphysema was caused by perivaterian duodenal perforation and excessive inflated air into the duodenum during EST.<br> This is the first report of systemic subcutaneous emphysema following EST in Japan. Previously, early operation has been recommended in all duodenal perforations following EST. However, it is recently reported that conservative management made an uneventful recovery in selected cases of duodenal perforation. Careful procedure is important to prevent the occurrence of duodenal perforation during EST.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (8), 1958-1962, 2006

  Japan Surgical Association

Keywords

• EST

Details

• CRID: 1390282679826811648
• NII Article ID: 10018785951
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.1958
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/8/67_8_1958/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007029777
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed