Duodenal perforation after percutaneous fluid drainage, a rare event: a case report.

Autor: Moyón MA; Chief of Department of General Surgery, Hospital San Francisco de Quito-IESS, Quito, Ecuador., Molina GA; Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador., Crisanto BA; Department of General Surgery, Hospital Angeles Acoxpa, Cuidad de México, México., Moyón FX; Department of General Surgery, Hospital San Francisco de Quito-IESS, Quito, Ecuador., Cárdenas A; Department of General Surgery, Hospital San Francisco de Quito-IESS, Quito, Ecuador., Buenaño RA; PGY3 Resident General Surgery, P.U.C.E, Quito, Ecuador., Gallegos SE; Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador., Espinoza SM; Department of General Surgery, Hospital IESS Quito Sur, Quito, Ecuador.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2020 Jul 02; Vol. 2020 (6), pp. rjaa206. Date of Electronic Publication: 2020 Jul 02 (Print Publication: 2020).
DOI: 10.1093/jscr/rjaa206
Abstrakt: Duodenal perforations can be caused by surgical instruments during operations. These injuries can go initially unnoticed and lead to problematic complications. While uncommon, bowel perforation after percutaneous fluid drainage can severely impact the patient's outcome. These can occur from equipment used for image-guided percutaneous drainage, a technique that has changed the way surgeons handle postoperative fluid collections and has become daily practice. Prompt recognition and timely treatment of these types of complications can minimize the consequences of this dreaded scenario. We present the case of a 29-year-old male, for whom an intra-abdominal collection was detected after laparoscopic cholecystectomy. CT-guided percutaneous drainage was performed, during which the catheter inadvertently punctured the duodenum. Surgical consultation was required and, since the patient remained asymptomatic, conservative management of the duodenal perforation was accomplished without complications. On follow-ups, the patient is doing well.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2019.)
Databáze: MEDLINE
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