Tehreem Fatima, Hassan Mumtaz, Fatima Meer, Ahsan Shafiq, Mirza muhammad haider abbas, Nusrat Jahan
Endoscopic retrograde cholangiopancreatography (ERCP) is a non-invasive procedure used in contemporary gastrointestinal practice, where in many cases it is lifesaving. But this procedure can also result in complications like; pancreatitis, sepsis, bleeding, and perforation. Here we discuss an unusual case where the patient underwent an urgent ERCP due to choledocholithiasis but the procedure was stopped due to suspicion of iatrogenic injury. On the second postoperative day, the patient developed Pneumomediastinum, Pneumoperitoneum, Pneumoretroperitoneum, and Surgical Emphysema. In spite of these serious complications, the patient was successfully managed with conservative treatment.