Lin PY, Wang SH, Tian YF, Chen MJ, Sun DP, Shiau J, Ong KH. Incidentally portal vein penetration during cannulation in endoscopic retrograde cholangiopancreatography: a case report.
J Surg Case Rep 2023;
2023:rjad298. [PMID:
37293329 PMCID:
PMC10244042 DOI:
10.1093/jscr/rjad298]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 04/30/2023] [Indexed: 06/10/2023] Open
Abstract
Portal vein cannulation is a very rare complication of endoscopic retrograde cholangiopancreatography (ERCP). In most reported cases, the event was managed safely with immediate catheter, guidewire withdrawn and procedure termination. Here, we report an unusual case of portobiliary fistula created during ERCP. To our knowledge, this is the first report of such case managed with immediate surgical biliary exposure.
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