Diagnostic endoscopic retrograde cholangiopancreatography (ERCP) is a
remarkably safe procedure in experienced hands. A series of complicati
ons directly related to both the manipulation and cannulation of the a
mpulla of Vater, as well as consequent to medication and cardiorespira
tory events, has been described. Herein we report a case of severe bar
otrauma complication of diagnostic endoscopic cholangiography.