Bilateral spontaneous subperiosteal orbital hemorrhages following endoscopic retrograde cholangiopancreatography.

Spontaneous subperiosteal orbital hemorrhage is rare. The authors describe a case of acute bilateral eyelid swelling, eyelid ptosis, and double vision in a patient immediately following endoscopic retrograde cholangiopancreatography. CT revealed bilateral subperiosteal orbital hemorrhages. The patient demonstrated no signs of optic nerve compromise, and the hemorrhages resolved spontaneously without sequela. Previous reports in the literature have documented subperiosteal hemorrhages following increased intracranial venous pressure, coagulopathies, and prone positioning during procedures. To the authors' knowledge, subperiosteal orbital hemorrhages have not been previously described following endoscopic retrograde cholangiopancreatography. Ophthalmologists and gastroenterologists should be aware of this potential complication associated with this procedure.

[1]  U. Rehany,et al.  Spontaneous subperiosteal orbital hemorrhage following thrombolytic therapy for myocardial infarction. , 2007, Ophthalmic plastic and reconstructive surgery.

[2]  H. Lai,et al.  Nontraumatic subperiosteal orbital haemorrhage in an anaesthetised patient with surgery in the prone position. , 2007, Anaesthesia and intensive care.

[3]  W. Zein,et al.  Bilateral subperiosteal orbital hematomas and Henoch-Schönlein purpura. , 2002, Archives of ophthalmology.

[4]  H. Scholl,et al.  Orbitablutung als Folge einer heparininduzierten Thrombozytopenie , 1999 .

[5]  E. Toth,et al.  Orbital hemorrhage as a complication of gastroscopy. , 1998, Endoscopy.

[6]  S. Ofner,et al.  Bilateral spontaneous subperiosteal hematoma of the orbits: a case report. , 1997, Archives of ophthalmology.

[7]  W. Nunery,et al.  Spontaneous Orbital Subperiosteal Hematomas in Patients with Liver Disease , 1992, Ophthalmic plastic and reconstructive surgery.

[8]  W. Kucharczyk,et al.  Nontraumatic orbital subperiosteal hematoma in a scuba diver: CT and MR findings. , 1988, Journal of computer assisted tomography.

[9]  B. Katz,et al.  Subperiosteal orbital hematoma induced by the valsalva maneuver. , 1985, American journal of ophthalmology.

[10]  T. Sullivan,et al.  Nontraumatic subperiosteal orbital hemorrhage. , 2001, Ophthalmology.

[11]  K. Hunt,et al.  Orbital hemorrhage in the nonoperated eye as a complication of general endotracheal anesthesia. , 1998, Archives of ophthalmology.