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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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/823149 |
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| author | Kong Jing Wu Shuo-Dong |
| author_facet | Kong Jing Wu Shuo-Dong |
| author_sort | Kong Jing |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-e902c1e307dd466b9048b084655e0dd9 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e902c1e307dd466b9048b084655e0dd92025-02-03T05:45:22ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/823149823149Postoperative Delayed Duodenum Perforation following Elective Laparoscopic CholecystectomyKong Jing0Wu Shuo-Dong1Department of the First Minimal Invasive Surgery and Bile Duct Surgery, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning 110004, ChinaDepartment of the First Minimal Invasive Surgery and Bile Duct Surgery, Sheng Jing Hospital of China Medical University, Shenyang, Liaoning 110004, ChinaBackground. 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.http://dx.doi.org/10.1155/2014/823149 |
| spellingShingle | Kong Jing Wu Shuo-Dong Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy Case Reports in Medicine |
| title | 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_short | Postoperative Delayed Duodenum Perforation following Elective Laparoscopic Cholecystectomy |
| title_sort | postoperative delayed duodenum perforation following elective laparoscopic cholecystectomy |
| url | http://dx.doi.org/10.1155/2014/823149 |
| work_keys_str_mv | AT kongjing postoperativedelayedduodenumperforationfollowingelectivelaparoscopiccholecystectomy AT wushuodong postoperativedelayedduodenumperforationfollowingelectivelaparoscopiccholecystectomy |