A CASE OF DUODENAL PERFORATION BY AN ENDOSCOPIC NASOBILIARY DRAINAGE TUBE

Abstract

A 72-year-old woman was admitted to our hospital for the treatment of gallstones and common bile duct stones. We removed the common bile duct stones with endoscopic sphincterotomy and placed an endoscopic nasobiliary drainage (ENBD) tube in the common bile duct. When the tube was pulled out spontaneously it got stuck at the juxtapapillary duodenal diverticula, and this led to the perforation of the duodenum. The patient was treated by stopping oral intake and administering antibiotics intravenously. The perforation improved without an operation. Although ENBD is an effective method for the release of obstructive jaundice and for use in cases where stones have been crushed, few reports have described the complications associated with ENBD. We present this case report considering the possible rarity of the observed complication.