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KMID : 0359020110420060437
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 6 p.437 ~ p.441
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A Primary Repair with Hemoclips and Fibrin Glue Injection in Biliary Stent Induced Duodenal Perforation
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Kim Ki-Won
Lee Tae-Hoon
Park Sang-Heum
Son Bum-Suk
Lee Sae-Hwan
Lee Suck-Ho
Chung Il-Kwun
Kim Sun-Joo
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Abstract
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Duodenal perforations caused by biliary prostheses are uncommon, but they are potentially life threatening and require immediate treatment. Here we describe an unusual case of duodenal perforation induced by a plastic biliary stent. It masqueraded as a case of cholecystitis and combined systemic upset with a localized peritonitis and fever. Primary endoscopic closure by hemoclips was difficult due to the position of the lateral wall and the complexity of aligning the perforation with the endoscope. To approximate the perforated hole and adherent hemoclips, glue injection and sprayings were successfully performed under cap-fitted endoscopy. The patient recovered without additional complications
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KEYWORD
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Endoscopic retrograde cholangiopancreatography, ERCP, Biliary stent, Intestinal perforation, Hemoclip, Glue injection
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