SuccessfulClosureofaComplicatedEndoscopicUltrasound-RelatedDuodenalPerforation

成功闭合一个超声内镜相关的复杂十二指肠穿孔

JoséCelsoArdengh1,RobertoMundimPortoFilho,VitorOttoboniBrunaldi,JoséEduardoBrunaldi,Jo?oAlmiroFerreiraFilho,RafaelKemp,JoséSebasti?odosSantos

作者机构：1.UniversityofS?oPaulo,Brazil巴西圣保罗大学

Endoscopy;Publishedtime:09September

DOI:10./a--

Theincidenceofduodenalperforationduringendosonography(EUS)rangesfrom0?%to0.04?%.Thetipofthelinearendoscopemayperforatetheduodenumasaconsequenceofangulationandthepresenceofstenosisordiverticula.Unfortunately,ingeneral,surgicalrepairisneeded.

与超声内镜（EUS）有关的十二指肠穿孔的发生率为0%-0.04%。由于存在角度、狭窄或憩室，线性内镜的尖端可能会穿透十二指肠。不幸的是，这种穿孔通常需要手术修复。

WereporthereanextensiveperforationofthesecondduodenalportionafterlinearEUS,treatedinanoriginalandsuccessfulmannerbytheuseofanendoloopandmetallicendoclips.Theprocedurewasperformedina72-year-oldwomanwithabdominalandlumbarpain,amassinthelefthypochondrium,a3-kgweightloss,andanexpansiveinjurytothebody/tailofthepancreasmeasuringabout10.7?×?8.9?×?7.2?cm,suggestingthepresenceofaserouscystadenomaupon

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