| Endoscopic Clip Closure of Duodenal Perforation Caused by Percutaneous Drainage Procedure |
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Dong Hoon Han, Jong Ho Hwang, Sang Ho Lee, Tae Mu Lee, Sung Ik Pyeon, Dong Wook Lee, Jae Gyu Shin, Kong Jin Oh |
1Department of Internal Medicine, Busan Medical Center, Busan, Korea. asluke@naver.com
2Department of General Surgery, Busan Medical Center, Busan, Korea. |
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| Abstract |
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Acute cholecystitis is a disease commonly treated in health care institutions. Cholecystectomy is the standard treatment for acute cholecystitis, and emergent laparoscopic cholecystectomy is acceptable as an effective and safe treatment modality. One of the complications after laparoscopic cholecystectomy is intra-abdominal abscess. The standard treatment for postoperative intra-abdominal abscess is percutaneus transhepatic drainage and use of antibiotics. However, duodenal perforation can occur during insertion of the pigtail catheter for drainage. Operation is the treatment of choice for iatrogenic duodenal perforations. Recent reports describe nonsurgical treatments for small gastrointestinal perforation with localized peritonitis and suggest that endoclipping may be appropriate in the management of a well selected group of patients with iatrogenic perforation. We describe a case of duodenal perforation due to pigtail catheter insertion for percutaneous transhepatic drainge that was succesfully treated by using endoclips. |
| Key Words:
Duodenal perforation; Endoclipping; Cholecystectomy; Abscess |
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