Incidentally portal vein penetration during cannulation in endoscopic retrograde cholangiopancreatography: a case report

Pei-Yi Lin; Su-Hung Wang; Yu-Feng Tian; Ming-Jenn Chen; Ding-Ping Sun; Junping Shiau; Khaa-Hoo Ong

doi:10.1093/jscr/rjad298

Incidentally portal vein penetration during cannulation in endoscopic retrograde cholangiopancreatography: a case report

J Surg Case Rep. 2023 Jun 5;2023(6):rjad298. doi: 10.1093/jscr/rjad298. eCollection 2023 Jun.

Authors

Pei-Yi Lin¹, Su-Hung Wang², Yu-Feng Tian¹, Ming-Jenn Chen¹, Ding-Ping Sun¹, Junping Shiau³, Khaa-Hoo Ong¹

Affiliations

¹ Division of Gastroenterology and General Surgery, Department of Surgery, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City 710, Taiwan (R.O.C.).
² Division of Hepatogastroenterology, Department of Internal Medicine, Chi-Mei Medical Center, No.901, Zhonghua Rd., Yongkang Dist., Tainan City 710, Taiwan (R.O.C.).
³ Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100, Ziyou 1st Rd., Sanmin Dist., Kaohsiung City 807, Taiwan (R.O.C.).

Abstract

Portal vein cannulation is a very rare complication of endoscopic retrograde cholangiopancreatography (ERCP). In most reported cases, the event was managed safely with immediate catheter, guidewire withdrawn and procedure termination. Here, we report an unusual case of portobiliary fistula created during ERCP. To our knowledge, this is the first report of such case managed with immediate surgical biliary exposure.

Publication types

Case Reports