Iatrogenic Duodenal Perforation Treated with Endoscopic Placement of Metallic Clips: A Case ReportReport as inadecuate

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Case Reports in MedicineVolume 2012 2012, Article ID 609750, 3 pages

Case ReportDepartment of Gastroenterology, Drexel University College of Medicine, Philadelphia, PA 19107, USA

Received 9 September 2011; Revised 5 November 2011; Accepted 23 November 2011

Academic Editor: William B. Silverman

Copyright © 2012 Missale Solomon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Perforation is one of the major complications encountered during endoscopic procedures. The standard of care for these complications is either surgical intervention or nonoperative medical approach with antibiotics and bowel rest with or without parenteral alimentation. Metallic clips, initially developed to secure hemostasis in bleeding, have been successfully used to close perforations in the gastrointestinal tract GI including the duodenum. This avoids perioperative morbidities associated with surgical intervention while limiting the leakage of intestinal contents and peritoneal contamination that is possible with medical management. We present a case of a patient with a lateral duodenal perforation during an endoscopic retrograde cholangiopancreatography ERCP which was successfully treated with immediate placement of metallic endoclips.

Author: Missale Solomon, Alexander Schlachterman, and Ricardo Morgenstern

Source: https://www.hindawi.com/


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