내시경적 점막 절제술로 인한 천공과 동반된 간농양 1예

Duodenal perforation is a complication of endoscopic mucosal resection. Liver abscess secondary to iatrogenic perforation is extremely rare. A 43-year-old female visited the hospital to remove a sub-epithelial tumor on the duodenal bulb. After endoscopic mucosal resection with band ligation, duodena...

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Veröffentlicht in:The Korean journal of gastroenterology 2018, 71(5), , pp.286-289
Hauptverfasser: 최승호, Seung Ho Choi, 김수진, Su Jin Kim, 강대환, Dae Hwan Kang, 김형욱, Hyung Wook Kim, 최철웅, Cheol Woong Choi, 김태언, Tae Un Kim, 이정석, Jeong Seok Lee, 고지환, Ji Hwan Ko
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Zusammenfassung:Duodenal perforation is a complication of endoscopic mucosal resection. Liver abscess secondary to iatrogenic perforation is extremely rare. A 43-year-old female visited the hospital to remove a sub-epithelial tumor on the duodenal bulb. After endoscopic mucosal resection with band ligation, duodenal perforation occurred. Endoscopic closure was performed successfully using a clipping device to manage duodenal perforation. After 4 weeks, the patient visited our outpatient clinic due to abdominal pain and fever. Abdominal computed tomography showed liver abscess that involved segment three. Liver abscess was resolved with a 10-week antibiotic treatment. To the best of our knowledge, no case of liver abscess secondary to duodenal perforation by endoscopic resection was reported to date in Korea. Here, we report a case of liver abscess caused by a duodenal perforation after endoscopic mucosal resection. (Korean J Gastroenterol 2018;71:286-289)
ISSN:1598-9992
2233-6869
DOI:10.4166/kjg.2018.71.5.286