Idiopathic perforation of acalculous gallbladder after insertion of a transpapillary pancreatic stent

Tomoko Katagiri; Atsushi Irisawa; Hiroto Wakabayashi; Takuya Tsunoda; Hiroyuki Tomoda; Ryo Saito; Shunji Kinuta

doi:10.1055/s-0042-109598

Endoscopy International Open, Inhaltsverzeichnis

Endosc Int Open 2016; 04(08): E838-E840
DOI: 10.1055/s-0042-109598

Case report

Idiopathic perforation of acalculous gallbladder after insertion of a transpapillary pancreatic stent

Authors

Tomoko Katagiri

¹Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
Atsushi Irisawa

²Department of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwamkamatsu, Japan
Hiroto Wakabayashi

¹Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
Takuya Tsunoda

¹Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
Hiroyuki Tomoda

¹Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
Ryo Saito

³Department of Surgery, Takeda general hospital. Aizuwakamatsu, Japan
Shunji Kinuta

³Department of Surgery, Takeda general hospital. Aizuwakamatsu, Japan

Abstract

Background and study aims: Endoscopic retrograde pancreatocholangiography (ERCP) is associated with many types of adverse events (AEs) but idiopathic perforation of the gallbladder (IPGB) is very rare. Pancreatobiliary reflux is one of the factors involved with occurrence of IPGB [1]. Here we present a case of acalculous gallbladder perforation as an AE following the insertion of an indwelling endoscopic nasal pancreatic drainage (ENPD) tube (a pancreatic stent) to obtain pancreatic fluid. In this case, acute pancreatobiliary reflux might have been caused by the insertion of the ENPD-tube.

Volltext

Referenzen

References
1 Hasegawa T, Udatsu Y, Kamiyama M et al. Does pancreatico-biliary maljunction play a role in spontaneous perforation of the bile duct in children?. Pediatr Surg Int 2000; 16: 550-553
2 Namikawa T, Kobayashi M, Okabayashi T et al. Clinicopathological analysis of idiopathic perforation of the gallbladder. Surg Today 2007; 37: 633-637
3 Rapetti R, Scaglia E, Fangazio S et al. Pancreatobiliary reflux resulting in pancreatic ascites and choleperitoneum after gallbladder perforation. Case Rep Gastroenterol 2008; 2: 433-438
4 Kamisawa T, Okamoto A. Biliopancreatic and pancreatobiliary refluxes in cases with and without pancreaticobiliary maljunction: diagnosis and clinical implications. Digestion 2006; 73: 228-236
5 Menakuru SR, Kaman L, Behera A et al. Current management of gall bladder perforations. ANZ J Surg 2004; 74: 843-846
6 Beltran MA, Vracko J, Cumsille MA et al. Occult pancreaticobiliary reflux in gallbladder cancer and benign gallbladder diseases. J Surg Oncol 2007; 96: 26-31
7 Itokawa F, Itoi T, Nakamura K et al. Assessment of occult pancreatobiliary reflux in patients with pancreaticobiliary disease by ERCP. J Gastroenterol 2004; 39: 988-994
8 Inagaki 1 M, Goto J, Suzuki S et al. Gallbladder carcinoma associated with occult pancreatobiliary reflux in the absence of pancreaticobiliary maljunction. J Hepatobiliary Pancreat Surg 2007; 14: 529-533
9 Horaguchi J, Fujita N, Kamisawa T et al. Pancreatobiliary reflux in individuals with a normal pancreaticobiliary junction: a prospective multicenter study. J Gastroenterol 2014; 49: 875-881