PTP誤飲による十二指腸穿孔に対しOver-The-Scope Clip（OTSC）を用いた内視鏡的治療が有用であった１例

杉山 智彦; 手塚 隆一; 小木曽 富生; 田尻下 聡子; 奥野 充; 中山 千恵美; 小木曽 英介; 杉山 昭彦; 加藤 則廣; 冨田 栄一

doi:10.11280/gee.63.38

A CASE OF DUODENAL PERFORATION CAUSED BY ACCIDENTAL INGESTION OF A PRESS-THROUGH PACKAGE CONSERVATIVELY TREATED BY USING AN OVER-THE-SCOPE CLIP SYSTEM

Tomohiko SUGIYAMA , Ryuuichi TEZUKA, Tomio OGISO, Satoko TAJIRIKA, Mitsuru OKUNO, Chiemi NAKAYAMA, Hideyuki OGISO, Akihiko SUGIYAMA, Tomohiro KATO, Eiichi TOMITA

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JOURNAL FREE ACCESS FULL-TEXT HTML

2021 Volume 63 Issue 1 Pages 38-44

DOI https://doi.org/10.11280/gee.63.38

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Abstract

An 88-year-old man was referred to our hospital with a complaint of abdominal pain. Abdominal computed tomography (CT) revealed retroperitoneal free air, and a diagnosis of duodenal perforation was established. On upper gastrointestinal endoscopic examination, a press-through package (PTP) was found in the third portion of the duodenum. The PTP was removed endoscopically, and the perforated portion of the duodenum was 15mm in size. The perforated portion was closed completely with an over-the-scope clip.

There have been few reports on duodenal perforation due to PTP, and no report that was treated conservatively and able to avoid surgery. The OTSC may be useful for treatment of duodenal perforation.

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