Duodenal perforation due to endoscopic sphincterotomy is an uncommon but occasionally fatal complication. This serious complication has been traditionally treated by immediate surgical exploration when digestive fluid leakage occurs.
Herein, we will present the percutaneous treatments of an endoscopic sphincterotomy-related duodenal perforation and perforation-related retroperitoneal abscess by using percutaneous drainage techniques. An 8-F internal-external biliary drainage catheter provided mechanical obstruction of the periampullary perforation site and also prevented continuous bile or pancreatic fluid leakage through the perforation. Additionally, a perforation-related retroperitoneal abscess was also successfully treated by utilizing percutaneous drainage catheters.
This is, to the best of our knowledge, the first report of percutaneous treatment of endoscopy-related duodenal perforation requiring emergency surgical treatment.