A Rare but Life‐Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled‐Off Necrosis Rupture

Yasuo Otsuka; Kosuke Minaga; Akane Hara; Mamoru Takenaka; Chihoko Nobori; Takaaki Murase; Ippei Matsumoto; Masatoshi Kudo

doi:10.1155/crgm/6599334

January 1, 2026Case Reports in Gastrointestinal MedicineOpen Access

A Rare but Life‐Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled‐Off Necrosis Rupture

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Key Points

This research aims to address the serious complications arising from direct endoscopic necrosectomy (DEN), specifically focusing on tension pneumoperitoneum.
Discussed the complication of tension pneumoperitoneum in the context of DEN procedures.
Emphasized the importance of monitoring intracavitary pressure during DEN.
Highlighted the need for respiratory monitoring during these interventions.
Identified tension pneumoperitoneum as a rare but critical complication of DEN procedures.
Established that meticulous pressure control could mitigate this risk.
Pointed out that close monitoring is essential to prevent severe respiratory issues.

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Implication

A rare complication arises during endoscopic necrosectomy, highlighting the importance of pressure control and monitoring.

Abstract

-related complication of DEN and underscores the need for meticulous control of intracavitary pressure and close respiratory monitoring during the procedure.

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Otsuka et al. (2026) studied this question.

synapsesocial.com/papers/69fada7f03f892aec9b1e4fd https://doi.org/10.1155/crgm/6599334

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A Rare but Life‐Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled‐Off Necrosis Rupture

Key Points

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Implication

Abstract

Discussion

Cite This Study

A Rare but Life‐Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled‐Off Necrosis Rupture

Key Points

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Implication

Abstract

Discussion

Cite This Study

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