Liver Abscess Secondary to Perforation after Duodenal Endoscopic Resection.
10.4166/kjg.2018.71.5.286
- Author:
Seung Ho CHOI
1
;
Su Jin KIM
;
Dae Hwan KANG
;
Hyung Wook KIM
;
Cheol Woong CHOI
;
Tae Un KIM
;
Jeong Seok LEE
;
Ji Hwan KO
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. endoksj@gmail.com
- Publication Type:Case Report
- Keywords:
Duodenum;
Intestinal perforation;
Endoscopic mucosal resection;
Liver abscess
- MeSH:
Abdominal Pain;
Adult;
Ambulatory Care Facilities;
Duodenum;
Female;
Fever;
Humans;
Intestinal Perforation;
Korea;
Ligation;
Liver Abscess*;
Liver*
- From:The Korean Journal of Gastroenterology
2018;71(5):286-289
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
