Sheharyar Zameer, Kashmala Safdar, Huma Ahmed Khan, Umer Anwar, Fatima Sohail, Rasikh Maqsood
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引用次数: 0
摘要
内镜逆行胰胆管造影(ERCP)术后漏气(PEAL)综合征是一种罕见的并发症,包括气胸、气胸、腹腔积气、空气栓塞和皮下气肿。一名 71 岁的女性被诊断为轻度急性胆汁性胰腺炎,在接受 ERCP 取石手术后出现颈部、胸部和腹部疼痛,颈部肿胀,颈部和面部有绉痕。CT 扫描显示腹腔积气、气胸和皮下气肿。患者被诊断为 PEAL 综合征,并接受了保守治疗。她最终顺利地接受了胆囊切除术,并在术中取出了结石。PEAL 综合征虽然罕见,但可能是ERCP术后危及生命的并发症,需要持续监测。可以采取保守治疗、内镜治疗或手术治疗。
Post-endoscopic Retrograde Cholangiopancreatography Air Leak Syndrome: An Overview of Current Perspectives
Post-endoscopic retrograde cholangiopancreatography (ERCP) air leak (PEAL) syndrome is a rare complication that includes pneumothorax, pneumomediastinum, pneumoperitoneum, air embolism, and subcutaneous emphysema. A 71-year-old female diagnosed with mild acute biliary pancreatitis, who underwent ERCP for stone retrieval developed neck, chest, and abdominal pain, as well as swelling of the neck, along with crepitus all along the neck and face. CT scan showed pneumoperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed as a case of PEAL syndrome, and was managed conservatively. She ultimately underwent an uneventful cholecystectomy with peroperative stone retrieval. PEAL syndrome, albeit rare, can be a potentially life-threatening complication following ERCP, which requires continuous monitoring. It may be managed conservatively, endoscopically, or surgically.