Korean J Helicobacter Up Gastrointest Res.  2014 Dec;14(4):273-278. 10.7704/kjhugr.2014.14.4.273.

Endoscopic Clip Closure of Duodenal Perforation Caused by Percutaneous Drainage Procedure

• Han DH
• Hwang JH
• Lee SH
• Lee TM
• Pyeon SI
• Lee DW
• Shin JG
• Oh KJ

• KMID: 2305131
• DOI: http://doi.org/10.7704/kjhugr.2014.14.4.273

Abstract

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.

Keyword

Duodenal perforation; Endoclipping; Cholecystectomy; Abscess

MeSH Terms

Abdominal Abscess
Abscess
Anti-Bacterial Agents
Catheters
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystitis, Acute
Delivery of Health Care
Drainage*
Humans
Peritonitis
Anti-Bacterial Agents