The endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure tor the diagnostic and treatment of diverse pathologies of the liver, bile ducts and pancreas; although it has demonstrated through the time its security, it is not free of complications. This is a clinical case presentation of a lemale patient with pain in the right lower quadrant, nauseas and vomits with dilatation of the bile ducts post - cholecystectomy and alter studies an ERCP is done. Duodenal perforation post ERCP is diagnosed and conservative management of the lesion is decided with excellent results. Literature is reviewed and the management of duodenal perforations post ERCP is discussed.
Wilkinson ML. ERCP and its applications. Gut 1999; 44: 290E.
Brante PB, Alamo MA, Fluxá FG, Silva JCh, Ramírez XD. Colangiografía retrógrada endoscópica. Revista Chilena de
Cirugía 2002; 54:76 - 8.
Stapler M, Selby R, Stein SC, Katkhouda N, Parekh D, Jabbour N, et al. Management of duodenal perforation after endoscopic retrograde colangiopancreatography and sphineterotomy. Annal 01Surgery 2000; 232: 191 -8.
Loperfido S, Angelini G, Benedetti G, Chilovi F, Costan F, De Berardinis F, et al. Major early complieations from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastroi ntest Endose 1998; 48: 1 - 10.
Howard TJ, Tan T, Lehman GA, Sherman S, Madura JA, Fogel E, Swack ML, et al. Classification and management of perforations complicating endoscopic sphineterotomy. Surgery 1999; 126: 658 - 65.
Vandervoort J, Soetikno RM, Tham TC, Wong RC, Ferrari AP, Montes H, et al. Risk lactors lor complications alter performance of ERCP. Gastrointest Endose 2002; 56: 652 - 6.
Trap R, Adamsen S, Hart-Hansen 0 , Henriksen M. Severe and fatal complications after diagnostic and therapeutic ERCP: a prospeetive series of claims to insurance covering public hospitals. Endoscopy 1999; 31:125 - 30.
