A Case of Successful Endoscopic Clipping for Iatrogenic Colon Perforation Induced by Peritoneal Catheter Insertion.
10.4166/kjg.2014.63.6.373
- Author:
Kyu Yeon HAHN
1
;
Hyun Ju KIM
;
Hye Jung PARK
;
Sun Wook KIM
;
Soo Yun CHANG
;
Beom Kyung KIM
;
Kwang Hyub HAN
;
Sung Pil HONG
Author Information
1. Department of Internaal Medicine, Yonsei University College of Medicine, Seoul, Korea. sphong@yuhs.ac
- Publication Type:Case Reports ; English Abstract
- Keywords:
Peritoneal catheter;
Colonoscopy;
Iatrogenic colon perforation;
Endoscopic clipping
- MeSH:
*Catheters, Indwelling;
Colon/*injuries;
Colonoscopy;
Humans;
Intestinal Perforation/*etiology/surgery;
Male;
Medical Errors;
Middle Aged;
Paracentesis/*adverse effects;
Peritoneum;
Rupture;
Surgical Instruments;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2014;63(6):373-377
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Advanced cancer patients with refractory ascites often do not respond to conventional treatments including dietary sodium restriction, diuretics, and repeated large volume paracentesis. In these patients, continuous peritoneal drainage by an indwelling catheter may be an effective option for managing refractory ascites with a relative low complication rate. Peritoneal catheter-induced complications include hypotension, hematoma, leakage, cellulitis, peritonitis, and bowel perforation. Although bowel perforation is a very rare complication, it can become disastrous and necessitates emergency surgical treatment. Herein, we report a case of a 57-year-old male with refractory ascites due to advanced liver cancer who experienced iatrogenic colonic perforation after peritoneal drainage catheter insertion and was treated successfully with endoscopic clipping.
