Pneumopericardium, pneumoretroperitoneum and scrotal emphysema following endoscopic biliary sphincterotomy

Retroduodenal perforation is considered a rare but serious complication of endoscopic papillotomy We report on a patient suffering from a stenotic occ lusion of the ductus hepatico-choledochus on whom a pre-cut via needle-knif e was performed in order to place a stent. Hours after the procedure, the p atient developed an extensive pneumoretroperitoneum, pneumopericardium and scrotal emphysema. The later have not been reported in relevant literature so far.