Mehmet B, Yasemin A (2018) Percutaneous Treatment of Endoscopic Sphincterotomy-Related Duodenal Perforation. Int J Surg Res Pract 5:090.


© 2018 Mehmet B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2378-3397/1410090

Percutaneous Treatment of Endoscopic Sphincterotomy-Related Duodenal Perforation

Bayrak Mehmet* and Altıntas Yasemin

Ortadogu Hospital, Adana, Turkey



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.

Case presentation

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.