Kaohsiung Journal of Medical Sciences
Volume 24, Issue 11 , Pages 614-617, November 2008

Pneumoperitoneum Caused by Air Leakage Through the Percutaneous Puncture Tract as a Complication of Rendezvous Technique: A Case Report

  • Chiao-Hsiung Chuang

      Affiliations

    • Department of Internal Medicine, National Cheng Kung University, Tainan, Taiwan
    • ,
  • Chiung-Yu Chen

      Affiliations

    • Department of Internal Medicine, National Cheng Kung University, Tainan, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Chiung-Yu Chen, Department of Internal Medicine, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan 704, Taiwan
    • ,
  • Hong-Ming Tsai

      Affiliations

    • Department of Radiology, College of Medicine, National Cheng Kung University, Tainan, Taiwan

Received 14 February 2008; accepted 27 March 2008.

Article Outline

The rendezvous technique, combining percutaneous and endoscopic procedures, is a safe and effective method to achieve biliary cannulation if an endoscopic approach fails. The two procedures in this technique can be carried out simultaneously or in stages. A simultaneous approach is reported to be associated with fewer complications, and patients undergoing this approach can recover and be discharged more rapidly. Here, we report a complication of pneumoperitoneum in a patient who underwent percutaneous and endoscopic procedures simultaneously for the removal of a common bile duct stone. It was supposed that prolonged air insufflation during endoscopy forced intestinal air to track into the peritoneal cavity through the bile ducts and the puncture tract. Accordingly, a short wait before removing the percutaneous catheter to deflate the intestinal air will be helpful to avoid such a complication.

Key Words:  endoscopic retrograde cholangiography , percutaneous transhepatic cholangiography , pneumoperitoneum , rendezvous technique

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References 

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  2. Ponchon T , Valette PJ , Bory R , et al.   Evaluation of a combined percutaneous endoscopic procedure for the treatment of choledocholithiasis and benign papillary stenosis . Endoscopy . 1987;19:164–166
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PII: S1607-551X(09)70024-5

doi:10.1016/S1607-551X(09)70024-5

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 11 , Pages 614-617, November 2008

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