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KMID : 0614620180710050286
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Korean Journal of Gastroenterology
2018 Volume.71 No. 5 p.286 ~ p.289
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Liver Abscess Secondary to Perforation after Duodenal Endoscopic Resection
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Choi Seung-Ho
Kim Su-Jin
Kang Dae-Hwan
Kim Hyung-Wook
Choi Cheol-Woong
Kim Tae-Un
Lee Jeong-Seok
Ko Ji-Hwan
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Abstract
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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.
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KEYWORD
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Duodenum, Intestinal perforation, Endoscopic mucosal resection, Liver abscess
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