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Intestinal Perforation Caused by Lumboperitoneal Shunt Insertion Repaired with an Over-the-Scope Clip

Ishizuka N, Komatsu E

Lumboperitoneal or ventriculoperitoneal shunt insertion is a standard therapy for hydrocephalus that diverts cerebrospinal fluid from the subarachnoid space into the peritoneal cavity. Gastrointestinal perforations due to this procedure occur...
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The role of laparoscopic management in perforated gastric cancer

Kim CH, Kim DJ, Kim W

Purpose: Perforated gastric cancer is an extremely rare condition and usually presents in advanced stage with poor prognosis. Surgical strategies are still controversial regarding the extent to which complete resection...
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Diagnosis and Management of Iatrogenic Endoscopic Retrograde Cholangiopancreatography Perforations Based on the European Society of Gastrointestinal Endoscopy Position Statement

Kim YJ, Park CH

Endoscopic retrograde cholangiopancreatography (ERCP)-related iatrogenic perforations are identified when gas or luminal contents exit the gastrointestinal tract during ERCP. Although perforations are rare, mortality is high; prompt diagnosis and appropriate...
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Two Lethal Cases of Monomorphic Epitheliotropic Intestinal T-cell Lymphoma Deteriorated Rapidly After Emergency Surgery for Intestinal Perforation

Ko S, Park SH

Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) is a rare and aggressive form of primary gastrointestinal T-cell lymphoma. Symptoms can vary but often include fever, abdominal pain, weight loss, diarrhea, obstruction,...
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Incomplete Removal of an Intrauterine Device Perforating the Sigmoid Colon

Lee J, Oh JH, Kim J, Lim CH, Jung SH

Intrauterine devices (IUDs) are widely used for contraception in South Korea. However, several complications of IUDs have been reported, including inflammation, obstruction, perforation, and fistula. IUD perforation is the rarest...
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Colonic Perforation After Treatment With Nivolumab in Esophageal Cancer: A Case Report

Cho HJ, Kim WR, Kim JH, Kim DH, Kim DJ, Kang H

With the advent of checkpoint inhibitors, it has opened up opportunities for numerous cancer patients. However, as is the case with every treatment, complications need to be weighed. Gastrointestinal adverse...
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Intestinal Perforation as a Paradoxical Reaction to Antitubercular Therapy: A Case Report

Kang SH, Moon HS, Park JH, Kim JS, Kang SH, Lee ES, Kim SH, Lee BS, Sung JK, Jeong HY, Lee KH

Paradoxical reactions to tuberculosis (TB) treatment are characterized by an initial improvement of the clinical symptoms followed by clinical or radiological deterioration of existing tuberculous lesions, or by development of...
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Endoscopic Band Ligation in Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforation

Lee JM, Rim CB

Although ERCP is a therapeutic endoscopic procedure in pacreatico-biliary diseases, its rare complications, including pancreatitis, duodenal perforation, and bleeding, can be fatal. An 87-year-old woman with a history of gallbladder...
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A Case of Midgut Volvulus with Gastric Perforation and Periveintricular Leukomalacia in a Term Infant

Park SG, Hwang JH

Intestinal malrotation with midgut volvulus (MV) is a life-threatening surgical emergency. Most events of MV occur in the neonatal period with bilious vomiting, abdominal distension, feeding intolerance, and bloody stools....
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Experience of serious intestinal hemorrhage and perforation in small bowel lymphoma: a case report

Kim SR, Chun SH, Jin JY, Gweon TG, Lee H, Jin MS, Lee GJ

There have been several reports of complications of small bowel lymphoma, such as bleeding, obstruction, and perforation, often require emergency surgery. It is hardly showed complications of bleeding and wound...
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Small Bowel Perforation Associated With Gastrointestinal Graft-Versus-Host Disease and Cytomegalovirus Enteritis in a Patient With Leukemia: A Case Report With Literature Review

Song KS, Kim MJ, Lim HK, Hong YH, Park SS, Hong CW, Park SC, Sohn DK, Han KS, Oh JH

Gastrointestinal graft-versus-host disease (GVHD) is a common complication after hematopoietic stem cell transplantation. Concomitant cytomegalovirus (CMV) enteritis worsens the prognosis of this condition. We report a case of small bowel...
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Initial risk factors associated with in-hospital mortality after surgery in adult patients admitted to emergency department with gastrointestinal perforation

Bae Y, Kim JH, Cha K, Kim HJ

  • KMID: 2504654
  • J Korean Soc Emerg Med.
  • 2020 Jun;31(3):291-297.
Objective: Gastrointestinal perforation (GIP) is a life-threatening disease with a high mortality rate. The neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) are recognized markers of inflammation...
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A case of ingested multiple magnetic beads: the importance of suspicion based on medical history

Kim KY

We report a 33-month-old boy who presented to the emergency department with mild periumbilical abdominal pain lasting for 3 days. A plain abdominal radiograph showed 7 magnetic beads, which were...
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Technical and Clinical Considerations for Successful Management of Postoperative Bowel Perforation by Percutaneous Foley Catheter Placement

Cho Sy, Oh JS, Lee HG, Choi BG

Purpose: The aim of this study was to analyze several technical and clinical factors associated with the successful management of postoperative leakage by percutaneous Foley catheter placement. Materials and Methods: Thirty-two...
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Comparison of Acute Abdominal Surgical Outcomes of Extremely-Low-Birth-Weight Neonates according to Differential Diagnosis

Byun J, Kim HY, Jung SE, Yang HB, Kim EK, Shin SH, Kim HS

BACKGROUND: Improvements in perinatal intensive care have improved survival of extremely-low-birth-weight (ELBW) neonates, although the risk of acute abdomen has increased. The differential diagnosis resulting in abdominal surgery can be...
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Clinical or Radiological Findings Suggestive of Spontaneous Intestinal Perforation in Extremely Low Birth Weight Infants with Gasless Abdomen

Nam EW, Kim JR, Park YJ, Chang YP

PURPOSE: This study aimed to evaluate the clinical and radiologic findings suggestive of spontaneous intestinal perforation (SIP) in extremely-low-birth-weight infants (ELBWIs) with persistent gasless abdomen, and to investigate the usefulness...
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Diagnosis and Management of Colonoscopy-related Perforation

Ham NS, Bae JH, Yang DH

Colonoscopy is one of the most useful procedures for making the diagnosis and treating various colorectal diseases, but this procedure rarely causes serious complications such as perforation. The incidence of...
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Bevacizumab induced intestinal perforation in patients with colorectal cancer

Baek SY, Lee SH, Lee SH

PURPOSE: Bevacizumab has been used as a promising drug for metastatic colorectal cancer in combination with chemotherapeutic agents. However, it has a few serious adverse effects, such as intestinal bleeding...
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Management of Complications of Colorectal Submucosal Dissection

Kim ER, Chang DK

Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various...
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Complications Following Colonoscopy in a Nationwide Standard Cohort: A Retrospective Case-control Study

Kim JW, Kim SY, Choi JH, Kim HS, Lee JK, Kim YT, Park G, Kang DR

BACKGROUND/AIMS: Despite the many reports of colonoscopy complications worldwide, few studies have been performed at the population level in Korea. In this study, a population-based study was performed to evaluate...
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