Download PDF
Endosc Int Open 2016; 04(08): E838-E840
DOI: 10.1055/s-0042-109598
Case report
© Georg Thieme Verlag KG Stuttgart · New York

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

Tomoko Katagiri
1   Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
,
Atsushi Irisawa
2   Department of Gastroenterology, Fukushima Medical University Aizu Medical Center, Aizuwamkamatsu, Japan
,
Hiroto Wakabayashi
1   Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
,
Takuya Tsunoda
1   Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
,
Hiroyuki Tomoda
1   Department of Gastroenterology, Takeda general hospital, Aizuwakamatsu, Japan
,
Ryo Saito
3   Department of Surgery, Takeda general hospital. Aizuwakamatsu, Japan
,
Shunji Kinuta
3   Department of Surgery, Takeda general hospital. Aizuwakamatsu, Japan
› Author Affiliations
Further Information

Publication History

submitted25 February 2016

accepted after revision17 May 2016

Publication Date:
10 August 2016 (online)

Also available at
   Permissions and Reprints

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.

 

  • 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
    CrossrefPubMedGoogle Scholar
  • 2 Namikawa T, Kobayashi M, Okabayashi T et al. Clinicopathological analysis of idiopathic perforation of the gallbladder. Surg Today 2007; 37: 633-637
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 5 Menakuru SR, Kaman L, Behera A et al. Current management of gall bladder perforations. ANZ J Surg 2004; 74: 843-846
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar