Quick, safe and effective repair of EUS-related duodenal perforation using over-the-scope clip system (with video)

Giuseppe Grande; Mauro Manno; Nadia Alberghina; Carmelo Barbera; Claudio Zulli; Gian Eugenio Tontini; Flavia Pigò; Rita Conigliaro

doi:10.1016/j.dld.2016.04.013

Quick, safe and effective repair of EUS-related duodenal perforation using over-the-scope clip system (with video)

Dig Liver Dis. 2016 Sep;48(9):1099-100. doi: 10.1016/j.dld.2016.04.013. Epub 2016 May 6.

Authors

Giuseppe Grande¹, Mauro Manno², Nadia Alberghina², Carmelo Barbera², Claudio Zulli², Gian Eugenio Tontini³, Flavia Pigò², Rita Conigliaro²

Affiliations

¹ Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy. Electronic address: [email protected].
² Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, Baggiovara di Modena, MO, Italy.
³ Gastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, San Donato Milanese, MI, Italy.

PMID: 27211883
DOI: 10.1016/j.dld.2016.04.013

Abstract

Duodenal perforation is a rare but potentially life-threating complication of bilio-pancreatic endoscopic-ultrasound (EUS) examination. Here we report a case of 90 yeas-old patient underwent to EUS with curvilinear ecoendoscope and complicated by duodenal wall perforation. As reported in our case, Over-the-scope clipping system represents a quick, safe and effective approach in order close the leak and prevent further complication.

Keywords: EUS complication; GI wall leak; Iatrogenic duodenal perforation; OTSC; Over-the-scope clip.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged, 80 and over
Cholecystectomy
Duodenum / injuries*
Endosonography / adverse effects*
Equipment Design
Female
Humans
Intestinal Perforation / diagnostic imaging*
Intestinal Perforation / etiology
Intestinal Perforation / therapy*
Surgical Instruments / statistics & numerical data*
Tomography, X-Ray Computed
Wound Healing