DOI: 10.36347/sjmcr.2015.v03i10.011

Pages: 964-966

Endoscopic retrograde cholangio-pancreatography is a procedure used for management of varied pancreato biliary disorders and biliary drainage. The occurrence of free air in the peritoneal cavity post-ERCP is a rare event (< 1%), which is usually the result of duodenal or ductal perforation related to therapeutic ERCP with sphincterotomy. We present a case of post ERCP pneumo peritoneum due to rupture of cholangitic abscess, which has never been described in the literature before. This case highlights the need of knowledge of pneumo peritoneum post ercp due to ruptured cholangitic abscess. Presence of pneumo peritoneum may give an impression of perforation of duodenum post ERCP and patient may be taken for Exploratory Laparotomy which can be otherwise tackled by just putting drains under local anaesthesia. These patients are having septicaemia and their condition is not good enough to sustain general anaesthesia.