Endoscopic Clip Closure of Duodenal Perforation Causedby Percutaneous Drainage Procedure

• Published in: The Korean journal of helicobacter and upper gastrointestinal research pp. 273 - 278
• Main Authors: 한동훈, 황종호, 이상호, 이태무, 편성익, 이동욱, 신재규, 오공진
• Format: Journal Article
• Language: English
• Published: 대한상부위장관ㆍ헬리코박터학회 01-12-2014
• Subjects: 내과학
• ISSN: 1738-3331; 2671-826X
• DOI: 10.7704/kjhugr.2014.14.4.273

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. KCI Citation Count: 0