Pneumoretroperitoneum and Pneumoperitoneum After Argon Plasma Coagulation
Pneumoretroperitoneum and Pneumoperitoneum After Argon Plasma Coagulation
Duodenal diverticula are usually asymptomatic, with an incidence of 0.16% to 22%. Symptomatic bleeding from a duodenal diverticulum is an even rarer event. The management of such a hemorrhage is almost entirely surgically based. Since the first reported case of endoscopic therapy for duodenal diverticular bleeding (DDB) by Sim et al, only two case series have been reported in the literature regarding endoscopic therapy for DDB. Hence, the optimal therapy modality for DDB remains unclear. A rare case involving massive pneumoretroperitoneum and pneumoperitoneum following argon plasma coagulation treatment for DDB is presented. A short discussion of the optimal endoscopic therapy for this rare disease is provided.
Duodenal diverticular bleeding (DDB) is a rare cause of acute upper gastrointestinal bleeding. The management of such a hemorrhage is almost entirely surgically based. Since the first reported case of endoscopic therapy for DDB by Sim et al, only two case series have been reported in the literature regarding endoscopic therapy for DDB. Hence, the optimal therapy modality for DDB remains unclear. Here, we report a rare case involving massive pneumoretroperitoneum and pneumoperitoneum following argon plasma coagulation treatment for DDB.
Abstract and Introduction
Abstract
Duodenal diverticula are usually asymptomatic, with an incidence of 0.16% to 22%. Symptomatic bleeding from a duodenal diverticulum is an even rarer event. The management of such a hemorrhage is almost entirely surgically based. Since the first reported case of endoscopic therapy for duodenal diverticular bleeding (DDB) by Sim et al, only two case series have been reported in the literature regarding endoscopic therapy for DDB. Hence, the optimal therapy modality for DDB remains unclear. A rare case involving massive pneumoretroperitoneum and pneumoperitoneum following argon plasma coagulation treatment for DDB is presented. A short discussion of the optimal endoscopic therapy for this rare disease is provided.
Introduction
Duodenal diverticular bleeding (DDB) is a rare cause of acute upper gastrointestinal bleeding. The management of such a hemorrhage is almost entirely surgically based. Since the first reported case of endoscopic therapy for DDB by Sim et al, only two case series have been reported in the literature regarding endoscopic therapy for DDB. Hence, the optimal therapy modality for DDB remains unclear. Here, we report a rare case involving massive pneumoretroperitoneum and pneumoperitoneum following argon plasma coagulation treatment for DDB.
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