The Korean Journal of Gastroenterology  2014;63(6):373-377

doi:10.4166/kjg.2014.63.6.373

A Case of Successful Endoscopic Clipping for Iatrogenic Colon Perforation Induced by Peritoneal Catheter Insertion.

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

Affiliations

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Keywords

Peritoneal catheter; Colonoscopy; Iatrogenic colon perforation; Endoscopic clipping

Country

Republic 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.