{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:02:07Z","timestamp":1780444927261,"version":"3.54.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,5]]},"DOI":"10.7759\/cureus.98498","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T08:19:22Z","timestamp":1764922762000},"source":"Crossref","is-referenced-by-count":1,"title":["Life-Threatening Duodenal Perforation Following Endoscopic Retrograde Cholangiopancreatography in an Elderly Patient: A Case Report"],"prefix":"10.7759","author":[{"given":"Christina Chrysanthi","family":"Theocharidou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotini","family":"Ampatzidou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savvas","family":"Simeonidis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Papadimos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athina","family":"Lavrentieva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2024.10.033","article-title":"Adverse events associated with endoscopic retrograde cholangiopancreatography: systematic review and meta-analysis","volume":"168","author":"Bishay K","year":"2025","unstructured":"Bishay K, Meng ZW, Khan R, et al.. Adverse events associated with endoscopic retrograde cholangiopancreatography: systematic review and meta-analysis. Gastroenterology. 2025, 168:568-586. 10.1053\/j.gastro.2024.10.033","journal-title":"Gastroenterology"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2023.2277776","article-title":"ERCP-related adverse events: incidence, mechanisms, risk factors, prevention, and management","volume":"17","author":"Rivas A","year":"2023","unstructured":"Rivas A, Pherwani S, Mohamed R, Smith ZL, Elmunzer BJ, Forbes N. ERCP-related adverse events: incidence, mechanisms, risk factors, prevention, and management. Expert Rev Gastroenterol Hepatol. 2023, 17:1101-1116. 10.1080\/17474124.2023.2277776","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v7.i14.1135","article-title":"Endoscopic retrograde cholangiopancreatography-related perforations: diagnosis and management","volume":"7","author":"Vezakis A","year":"2015","unstructured":"Vezakis A, Fragulidis G, Polydorou A. Endoscopic retrograde cholangiopancreatography-related perforations: diagnosis and management. World J Gastrointest Endosc. 2015, 7:1135-1141. 10.4253\/wjge.v7.i14.1135","journal-title":"World J Gastrointest Endosc"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200008000-00007","article-title":"Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy","volume":"232","author":"Stapfer M","year":"2000","unstructured":"Stapfer M, Selby RR, Stain SC, Katkhouda N, Parekh D, Jabbour N, Garry D. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000, 232:191-198. 10.1097\/00000658-200008000-00007","journal-title":"Ann Surg"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v2.i10.522","article-title":"Endoscopic retrograde cholangiopancreatography-related perforation: management and prevention","volume":"2","author":"Prachayakul V","year":"2014","unstructured":"Prachayakul V, Aswakul P. Endoscopic retrograde cholangiopancreatography-related perforation: management and prevention. World J Clin Cases. 2014, 2:522-527. 10.12998\/wjcc.v2.i10.522","journal-title":"World J Clin Cases"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2015.06.035","article-title":"Early precut sphincterotomy does not increase risk during endoscopic retrograde cholangiopancreatography in patients with difficult biliary access: a meta-analysis of randomized controlled trials","volume":"13","author":"Sundaralingam P","year":"2015","unstructured":"Sundaralingam P, Masson P, Bourke MJ. Early precut sphincterotomy does not increase risk during endoscopic retrograde cholangiopancreatography in patients with difficult biliary access: a meta-analysis of randomized controlled trials. Clin Gastroenterol Hepatol. 2015, 13:1722-1729.e2. 10.1016\/j.cgh.2015.06.035","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s002610000033","article-title":"Retroperitoneal perforation during endoscopic sphincterotomy: imaging findings","volume":"25","author":"Zissin R","year":"2000","unstructured":"Zissin R, Shapiro-Feinberg M, Oscadchy A, Pomeranz I, Leichtmann G, Novis B. Retroperitoneal perforation during endoscopic sphincterotomy: imaging findings. Abdom Imaging. 2000, 25:279-282. 10.1007\/s002610000033","journal-title":"Abdom Imaging"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2008.0020","article-title":"Duodenal perforations after endoscopic retrograde cholangiopancreatography: experience and management","volume":"18","author":"Mao Z","year":"2008","unstructured":"Mao Z, Zhu Q, Wu W, et al.. Duodenal perforations after endoscopic retrograde cholangiopancreatography: experience and management. J Laparoendosc Adv Surg Tech A. 2008, 18:691-695. 10.1089\/lap.2008.0020","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-1196966\/v1","article-title":"ERCP-induced perforation: a revisit after half a century [PREPRINT]","author":"Manasra ARAA","year":"2022","unstructured":"Manasra ARAA, Manasreh T, Hammouri HM, et al.. ERCP-induced perforation: a revisit after half a century [PREPRINT]. Research Square. 2022, 10.21203\/rs.3.rs-1196966\/v1","journal-title":"Research Square"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-23650","article-title":"ERCP-related perforations: risk factors and management","volume":"34","author":"Enns R","year":"2002","unstructured":"Enns R, Eloubeidi MA, Mergener K, Jowell PS, Branch MS, Pappas TM, Baillie J. ERCP-related perforations: risk factors and management. Endoscopy. 2002, 34:293-298. 10.1055\/s-2002-23650","journal-title":"Endoscopy"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2002.129028","article-title":"Adverse outcomes of ERCP","volume":"56","author":"Freeman ML","year":"2002","unstructured":"Freeman ML. Adverse outcomes of ERCP. Gastrointest Endosc. 2002, 56:S273-S282. 10.1067\/mge.2002.129028","journal-title":"Gastrointest Endosc"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-4331-z","article-title":"Post-endoscopic retrograde cholangiopancreatography perforation managed by surgery or percutaneous drainage","volume":"41","author":"Krishna RP","year":"2011","unstructured":"Krishna RP, Singh RK, Behari A, Kumar A, Saxena R, Kapoor VK. Post-endoscopic retrograde cholangiopancreatography perforation managed by surgery or percutaneous drainage. Surg Today. 2011, 41:660-666. 10.1007\/s00595-009-4331-z","journal-title":"Surg Today"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/894045","article-title":"Bilateral pneumothorax and subcutaneous emphysema following endoscopic retrograde cholangiopancreatography: a rare complication","volume":"2010","author":"Sampaziotis F","year":"2010","unstructured":"Sampaziotis F, Wiles A, Shaukat S, Dickinson RJ. Bilateral pneumothorax and subcutaneous emphysema following endoscopic retrograde cholangiopancreatography: a rare complication. Diagn Ther Endosc. 2010, 2010:1-3. 10.1155\/2010\/894045","journal-title":"Diagn Ther Endosc"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/206564","article-title":"Pneumothorax following ERCP: report of two cases with different pathophysiology","volume":"2013","author":"Neofytou K","year":"2013","unstructured":"Neofytou K, Petrou A, Savva C, Petrides C, Andreou C, Felekouras E, Loizou S. Pneumothorax following ERCP: report of two cases with different pathophysiology. Case Rep Med. 2013, 2013:206564. 10.1155\/2013\/206564","journal-title":"Case Rep Med"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omae118","article-title":"Right pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema as rare complications after ERCP: a case report","volume":"2024","author":"Bayat G","year":"2024","unstructured":"Bayat G, Haneyah F, Merjaneh L, Haddad S, Thaljah A, Zambakjian J, Ghabally M. Right pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum, and subcutaneous emphysema as rare complications after ERCP: a case report. Oxf Med Case Reports. 2024, 2024:10.1093\/omcr\/omae118","journal-title":"Oxf Med Case Reports"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-012-2150-3","article-title":"Pneumothorax following ERCP: report of four cases and review of the literature","volume":"57","author":"Schepers NJ","year":"2012","unstructured":"Schepers NJ, van Buuren HR. Pneumothorax following ERCP: report of four cases and review of the literature. Dig Dis Sci. 2012, 57:1990-1995. 10.1007\/s10620-012-2150-3","journal-title":"Dig Dis Sci"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-209920","article-title":"Pneumopericardium, pneumomediastinum, pneumoretroperitoneum and surgical emphysema secondary to a duodenal perforation post-endoscopic retrograde cholangiopancreatography","volume":"2015","author":"Harvey JP","year":"2015","unstructured":"Harvey JP. Pneumopericardium, pneumomediastinum, pneumoretroperitoneum and surgical emphysema secondary to a duodenal perforation post-endoscopic retrograde cholangiopancreatography. BMJ Case Rep. 2015, 2015:bcr2015209920. 10.1136\/bcr-2015-209920","journal-title":"BMJ Case Rep"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/414451-life-threatening-duodenal-perforation-following-endoscopic-retrograde-cholangiopancreatography-in-an-elderly-patient-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T08:19:22Z","timestamp":1764922762000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/414451-life-threatening-duodenal-perforation-following-endoscopic-retrograde-cholangiopancreatography-in-an-elderly-patient-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":17,"URL":"https:\/\/doi.org\/10.7759\/cureus.98498","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,5]]}}}