File:Bowel perforation at ERCP (Radiopaedia 59094-66394 C 14).jpg

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Bowel_perforation_at_ERCP_(Radiopaedia_59094-66394_C_14).jpg ‎(512 × 346 pixels, file size: 44 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 59094
  • Image ID: 37109418
  • Image stack position: 14/76
  • Plane projection: Axial
  • Aux modality: C+ portal venous phase
  • Study description: CT abdomen and pelvis
  • Study findings: There is a large pneumoperitoneum and also extensive free gas in the retroperitoneum, extending up to the mediastinum. Free fluid is also present. Biliary stents are noted, and pneumobilia is consistent with the recent sphincterotomy. The duodenum is edematous. Normal appearances of the pancreas.
  • Modality: CT
  • System: Gastrointestinal
  • Findings: There are cholecystectomy clips. The CBD has been cannulated and a contrast cholangiogram shows intraluminal filling defects consistent with stones. Sphincterotomy and balloon trawl performed and then a biliary stent deployed. Some abdominal pain at end of procedure.
Date Published: 21st Mar 2018
Source https://radiopaedia.org/cases/bowel-perforation-at-ercp
Author Vikas Shah
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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