Continuous wound irrigation and drainage for treating large contained duodenal perforation after endoscopic mucosal resection
A 59-year-old woman experienced a contained duodenal perforation 3 days after undergoing EMR for a 50 × 15 mm duodenal laterally spreading duodenal tumor. Endoscopy confirmed the duodenum contained perforation with abscess and sinus tract formation (A). The patient refused surgery; thus, we decided to treat the condition endoscopically. Because the postoperative wound was large, accounting for a bout three-quarters of the duodenal lumen, and the wound still showed the presence of infection after flushing, simple closure (including over-the-scope clip closure) would have been challenging and not conducive to wound healing.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Yangyang Zhou, Shimeng Zheng, Jinghao Li, Deliang Li, Bingrong Liu Tags: At the Focal Point Source Type: research
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