Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy
Background. Duodenum injury is extremely rare complication of laparoscopic cholecystectomy with potentially fatal consequences. Methods. Over the past 13-year period, 3000 laparoscopic cholecystectomies were performed in our institution. Duodenum injury only occurred in one patient recently who had...
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Hindawi Publishing Corporation
2014
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984834/ |
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pubmed-39848342014-04-30 Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy Jing, Kong Shuo-Dong, Wu Case Report Background. Duodenum injury is extremely rare complication of laparoscopic cholecystectomy with potentially fatal consequences. Methods. Over the past 13-year period, 3000 laparoscopic cholecystectomies were performed in our institution. Duodenum injury only occurred in one patient recently who had undergone gastrectomy owing to duodenal diverticulum. The diagnosis and management of this rare complication of laparoscopic cholecystectomy are described, and the literature is reviewed. Results. We present this case of duodenum injury on the fourth postoperative day after selective laparoscopic cholecystectomy was treated successfully by percutaneous needle aspiration and catheter drainage. The hospital stay was 26 days. No abscess recurred during the follow-up period. Conclusion. Duodenum injuries are extremely rare complications of laparoscopic cholecystectomy with potentially fatal consequences if not promptly recognized and treated. Sonographically guided percutaneous needle aspiration and catheter drainage can be used to treat the intraperitoneal abscess. Billroth II subtotal gastrectomy and gastrojejunostomy were beneficial for the treatment. Hindawi Publishing Corporation 2014 2014-03-25 /pmc/articles/PMC3984834/ /pubmed/24790609 http://dx.doi.org/10.1155/2014/823149 Text en Copyright © 2014 K. Jing and W. Shuo-Dong. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Jing, Kong Shuo-Dong, Wu |
| spellingShingle |
Jing, Kong Shuo-Dong, Wu Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| author_facet |
Jing, Kong Shuo-Dong, Wu |
| author_sort |
Jing, Kong |
| title |
Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_short |
Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_full |
Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_fullStr |
Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_full_unstemmed |
Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_sort |
postoperative delayed duodenum perforation following elective laparoscopic cholecystectomy |
| description |
Background. Duodenum injury is extremely rare complication of laparoscopic cholecystectomy with potentially fatal consequences. Methods. Over the past 13-year period, 3000 laparoscopic cholecystectomies were performed in our institution. Duodenum injury only occurred in one patient recently who had undergone gastrectomy owing to duodenal diverticulum. The diagnosis and management of this rare complication of laparoscopic cholecystectomy are described, and the literature is reviewed. Results. We present this case of duodenum injury on the fourth postoperative day after selective laparoscopic cholecystectomy was treated successfully by percutaneous needle aspiration and catheter drainage. The hospital stay was 26 days. No abscess recurred during the follow-up period. Conclusion. Duodenum injuries are extremely rare complications of laparoscopic cholecystectomy with potentially fatal consequences if not promptly recognized and treated. Sonographically guided percutaneous needle aspiration and catheter drainage can be used to treat the intraperitoneal abscess. Billroth II subtotal gastrectomy and gastrojejunostomy were beneficial for the treatment. |
| publisher |
Hindawi Publishing Corporation |
| publishDate |
2014 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984834/ |
| _version_ |
1612077455719268352 |