+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Fatal clostridial pancreatitis following ERCP and percutaneous needle biopsy



Fatal clostridial pancreatitis following ERCP and percutaneous needle biopsy



International Journal of Pancreatology 5(3): 305-310



A patient with a large necrotic pancreatic carcinoma underwent ERCP and percutaneous biopsy of the cancer and of a suspected hepatic metastasis. On the second day, she developed a massive hemolysis with a 50% drop of hemoglobin level and a rise of serum bilirubin level from 1.3 to 37.5 mg%. Gas was noted on followup CT scan of the pancreas. Clostridium perfringens was found by needle aspiration of the pancreas and on multiple blood cultures. Death resulted from sepsis on the fourth day. Since ERCP and percutaneous needle biopsy of the pancreas are being done with increasing frequency, and since this complication has not been previously described, this case report is presented.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 040132655

Download citation: RISBibTeXText

PMID: 2550563

DOI: 10.1007/bf02924475


Related references

Fatal clostridial pancreatitis following transduodenal biopsy of the pancreas. Journal of the Royal College of Surgeons of Edinburgh 35(4): 254, 1990

Fatal air and bile embolism after percutaneous liver biopsy and ERCP. Gastrointestinal Endoscopy 61(1): 153-157, 2005

ERCP-guided percutaneous fine-needle pancreatic biopsy. Western Journal of Medicine 132(4): 283-287, 1980

Fatal necrotizing pancreatitis following fine-needle aspiration biopsy of the pancreas. Radiology 141(1): 61-62, 1981

Percutaneous needle biopsy of the lung: report of two fatal complications. Chest 66(2): 216-218, 1974

Fatal incidents in percutaneous liver biopsy using the Menghini needle. Acta Hepato-Splenologica 15(3): 177-185, 1968

Needle-in-Needle Technique for Percutaneous Retrieval of a Fractured Biopsy Needle during CT-Guided Biopsy of the Thoracic Spine. Interventional Neuroradiology 20(5): 646-649, 2014

Fatal intrahepatic hemorrhage after percutaneous liver biopsy using a Menghini needle: a rare but real complication. Southern Medical Journal 70(11): 1355-1356, 1977

Fatal paradoxical pulmonary air embolism complicating percutaneous computed tomography-guided needle biopsy of the lung. Australasian Radiology 48(2): 204-206, 2004

Needle-knife sphincterotomy and post-ERCP pancreatitis: time to lower the threshold for the needle?. Gastrointestinal Endoscopy 71(2): 272-274, 2010

Fatal carcinoid crisis after percutaneous fine-needle biopsy of hepatic metastasis: case report and literature review. Radiology 174(3 Pt 1): 751-752, 1990

Percutaneous ultrasound-guided biopsy. Fine needle biopsy, cutting needle biopsy, or both?. Acta Radiologica 34(1): 30-34, 1993

Superiority of laparoscopic guided needle biopsy over percutaneous blind needle biopsy in diagnosing hepatocellular carcinoma associated with cirrhosis. Saudi Journal of Gastroenterology 4(2): 96, 1998

Ultrasonography-guided percutaneous needle biopsy with large needle versus surgical biopsy in the diagnosis of breast lesions. Annali Italiani di Chirurgia 66(5): 645-650, 1995

Axillary staging by percutaneous biopsy: sensitivity of fine-needle aspiration versus core needle biopsy. Annals of Surgical Oncology 16(5): 1170-1175, 2009