A case report of blunt gastric perforation treated with endoscopic clip closure. Issue 18 (May 2017)

• Record Type: Journal Article
• Authors: Li, Ke; Sun, Xuelian; Wang, Guoxing
• Other Names: Vanar. Vishwas section editor.
• Is Part Of: Medicine. Volume 96:Issue 18(2017)
• Publication Date: 2017-05
• Subjects: computed tomography -- gastric perforation -- gastroscopy; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000006774
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Gastroscopymay not only allow identification of gastric injury, but may also facilitate prompt repair. Patient concerns: A 39-year-old male patient was admitted 3 hours after abdominal injury caused by penetration of a screwdriver. Physical examination and computed tomography showed no evidence of gastric injury. However, 3000 mL fresh blood was vomited during the subsequent observation period. Diagnoses: Gastroscopy identified a ruptured artery and gastric perforation. Interventions: Repaired immediately using titanium clips. Outcomes: After operation, the patient recovered well without complications. No more bleeding was observed after the operation. Lesson subsections asper style: Interventional endoscopy has evolved as an effective alternative to primary surgery for treating gastrointestinal perforation.