Singh, AKMalla, BRGurung, RB2025-11-302025-11-302019https://hdl.handle.net/20.500.14572/3301Singh AK,1 Malla BR,1 Gurung RB2 1Department of Surgery 2Department of Internal Medicine Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, NepalABSTRACT Perforation is one of the most feared complications of Endoscopic Retrograde Cholangio Pancreatography (ERCP). ERCP has become important method for treating biliary-pancreatic diseases. Perforation related with Endoscopic Retrograde Cholangio Pancreatography is an infrequent, but if happens is a severe complication. Reported incidence of Edoscopic Retrograde Cholangio Pancreatography related perforation is 0.3-6%. Its mortality is as high as 37.5%. In our hospital since 2010 AD, There were 6 Perforations related to Endoscopic Retrograde Cholangio Pancreatography done in 4787 cases. This is a case of Endoscopic Retrograde Cholangio Pancreatography related perforation with no site of perforation recognized during surgical management. KEY WORDS Edoscopic Retrograde Cholangio Pancreatography, Negative Laparotomy, Perforations, Rare Complicationen-USEdoscopic Retrograde Cholangio PancreatographyNegative LaparotomyPerforationsRare ComplicationArticle