Pneumomediastinum after endoscopic sphincterotomy.

Journal Article (Journal Article)

Pneumomediastinum is a rare complication of endoscopy that usually indicates free peritoneal or retroperitoneal perforation. We report an unusual case of self-limiting pneumomediastinum after endoscopic sphincterotomy in which there was no radiological evidence of gut wall perforation. We postulate that this was due to interstitial tracking of air from the duodenal wall, and we discuss the possible pathophysiology. This complication should be recognized as distinct from pneumomediastinum associated with perforation, particularly as it appears to be benign and therefore does not require surgical or radiological intervention.

Full Text

Duke Authors

Cited Authors

  • Ciaccia, D; Branch, MS; Baillie, J

Published Date

  • March 1995

Published In

Volume / Issue

  • 90 / 3

Start / End Page

  • 475 - 477

PubMed ID

  • 7872289

International Standard Serial Number (ISSN)

  • 0002-9270


  • eng

Conference Location

  • United States