Introduction:

The abdominal aortic aneurysm is a disease that usually occurs asymptomatically, associated with high mortality when it ruptures. Risk factors associated with the natural history of this condition are described. The performance of endoscopic therapeutic procedures, such as endoscopic retrograde cholangiopancreatography, has been controversial; although it is not established as a contraindication, it presupposes a high risk.

Objective:

To present a patient with an abdominal aortic aneurysm, with high surgical risk to perform an endoscopic retrograde cholangiopancreatography.

Clinical case:

A patient with a large abdominal aortic aneurysm and clinical suspicion of an ampuloma is presented. Endoscopic therapy was performed using endoscopic retrograde cholangiopancreatography, with some variations in the procedure. Successful drainage of the main bile duct was achieved without complications.

Conclusions:

The therapy carried out was an option, but with a very high risk.

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