The Korean Journal of Gastroenterology (May 2018)

Liver Abscess Secondary to Perforation after Duodenal Endoscopic Resection

  • Seung Ho Choi,
  • Su Jin Kim,
  • Dae Hwan Kang,
  • Hyung Wook Kim,
  • Cheol Woong Choi,
  • Tae Un Kim,
  • Jeong Seok Lee,
  • Ji Hwan Ko

DOI
https://doi.org/10.4166/kjg.2018.71.5.286
Journal volume & issue
Vol. 71, no. 5
pp. 286 – 289

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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