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Rescue Therapy of Delayed Gastric Perforation Caused by an External Drainage Using an Over-the-Scope Clip.
- Source :
-
Journal of gastrointestinal and liver diseases : JGLD [J Gastrointestin Liver Dis] 2019 Jun 01; Vol. 28, pp. 241-244. Date of Electronic Publication: 2019 Jun 01. - Publication Year :
- 2019
-
Abstract
- This case reports a iatrogenic gastric fistula due to external draining successfully closed by using an over- the-scope clip. A 50-year old patient with a history of acute pancreatitis, segmental portal hypertension and splenectomy for splenic rupture, with long-term external drainage for a low volume pancreatic fistula, was referred to our hospital. The patient noticed the occurrence of a sudden increase of the drain flow and the immediate drainage of ingested liquid, with no fever or pain. An upper gastrointestinal endoscopy evidenced the gastric fistula with the presence of the drain inside the stomach near a gastric varix. The surgical approach was inappropriate due to bleeding risk. An over-the-scop clip was placed succeeding to stop the gastric flow. The external fistula closed one week later.
- Subjects :
- Cutaneous Fistula etiology
Drainage instrumentation
Endoscopy, Gastrointestinal methods
Gastric Fistula etiology
Humans
Male
Middle Aged
Pancreatic Fistula therapy
Pancreatitis diagnostic imaging
Pancreatitis therapy
Tomography, X-Ray Computed
Cutaneous Fistula therapy
Drainage adverse effects
Gastric Fistula therapy
Stomach injuries
Subjects
Details
- Language :
- English
- ISSN :
- 1842-1121
- Volume :
- 28
- Database :
- MEDLINE
- Journal :
- Journal of gastrointestinal and liver diseases : JGLD
- Publication Type :
- Report
- Accession number :
- 31204409
- Full Text :
- https://doi.org/10.15403/jgld-186