Korean J Gastroenterol.  2014 Aug;64(2):115-118. 10.4166/kjg.2014.64.2.115.

A Case of Spontaneous Bacterial Peritonitis Following Argon Plasma Coagulation for Angiodysplasias in the Colon

• Jung HJ
• Ryu SH
• Park KS
• Yoon WJ
• Kim JN
• Kim YS
• Moon JS

• KMID: 2164423
• DOI: http://doi.org/10.4166/kjg.2014.64.2.115

Abstract

Spontaneous bacterial peritonitis (SBP) is the most common infection in liver cirrhosis patients, and is not a result of surgery or intra abdominal infection. Argon plasma coagulation (APC) is an endoscopic procedure used with a high-frequency electrical current for control of bleeding from gastrointestinal vascular ectasias including angiodysplasia and gastric antral vascular ectasia. This procedure is known to be safe because it uses a noncontact method. Therefore, tissue injury is minimal and up to two to three millimeters. However, we experienced a case of SBP occurring immediately after performance of APC for control of severe bleeding from angiodysplasia in the colon in a patient with liver cirrhosis and hepatocellular carcinoma.

Keyword

Peritonitis; Argon plasma coagulation; Angiodysplasia; Liver cirrhosis

MeSH Terms

Aged
Angiodysplasia/complications/*diagnosis
Anti-Bacterial Agents/therapeutic use
*Argon Plasma Coagulation
Bacterial Infections/*diagnosis/drug therapy/microbiology
Carcinoma, Hepatocellular/complications/diagnosis
Colonic Diseases/complications/*diagnosis
Colonoscopy
Female
Gastrointestinal Hemorrhage/therapy
Gram-Negative Bacteria/isolation & purification
Humans
Liver Cirrhosis/complications/diagnosis
Liver Neoplasms/complications/diagnosis
Peritonitis/*diagnosis/drug therapy/microbiology
Anti-Bacterial Agents

Figure

• 

  Fig. 1. Colonoscopy findings show many small vascular malformations (angiodysplasias) over the entire colon.

• 

  Fig. 2. Argon plasma coagulation applied on the prominent angiodysplasia suspected to cause bleeding.

Reference

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