AIM To investigate predictors of perforation after endoscopic resection (ER) for duodenal neoplasms without a papillary portion. METHODS This was a single-center, retrospective, cohort study conducted between April 2003 and September 2014. A total of 54 patients (59 lesions) underwent endoscopic mucosal resection (EMR) (n = 36) and endoscopic submucosal dissection (ESD) (n = 23). Clinical fea...

A 74-year-old woman presented obstructive jaundice. Computed tomography revealed a pancreatic head tumor with dilatation of the common bile duct (CBD) and pulmonary metastases. Biliary drainage by ERCP was indicated. Papilla had tumoral signs of infiltration. Cannulation was not achieved after several attempts with a papillotome. We accessed the distal CBD after performing a pre-cut, but the gu...

Duodenal perforation as complication of endoscopic retrograde cholangiopancreatography (ERCP) is a rare but serious secondary event with an incidence of 0.6%– 0.99% [1]. The most dangerous type of perforation is that categorized as type I in the classification by Stapfer et al. [2] and usually located in the lateral or medial duodenumwall. This is associated with high mortality rates (28%–47%) ...

Retroperitoneal perforation of duodenal diverticula around the papilla of Vater is relatively rare. In this report, we describe retroperitoneal abscess, which was successfully treated by endoscopic drainage. Thus, endoscopic approach for retroperitoneal perforation caused by diverticulum is one of the treatment options in addition to surgery.

BACKGROUND Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part. This study was conducted at Dow University of health sciences and Civil Hospital Karachi (DUHS & CHK) Pakistan, designed to highlig...

Gastrostomy tube placement is a routinely safe procedure; however, this report and its accompanying images highlight a rare but serious complication of tube migration - duodenal perforation.

principal management option in the treatment of pancreaticobiliary disease. Longterm complications include occlusion, migration, and dislocation [1–3]. Duodenal perforations caused during stent migration are rare but life-threatening [4], with complications including peritonitis, sepsis, retroperitoneal abscess, and duodenal fistulization [4–5]. This report describes an asymptomatic case of duo...

BACKGROUND the presence of duodenal diverticula was first described in 1710 by Chromel. Duodenal diverticulum is the second most common site of diverticula in the digestive tract. Anatomically duodenal diverticula are located in 10 to 67% in the second portion of duodenum, and its finding in most cases incidental. About 90% of patients appear asymptomatic, manifesting symptoms mostly once estab...

Background: Acute fungal peritonitis due to gastric and duodenal perforation has been rarely reported. Methods: In this study, we retrospectively analyzed 15 cases with acute fungal peritonitis infected with Candida after gastric and duodenal perforation. Results: Gastric ulcer perforation was diagnosed in 5 cases and perforation of the duodenum was diagnosed in 10 cases. The medical background...

Background and Aim. Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, but it is associated with significant mortality. This study evaluated the early management experience of these perforations. Patients and Methods. Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center. Sixteen perforations (...