Duodenal fistula

Craighead, Claude C.; Raymond, Albert H. St.

doi:10.1016/0002-9610(54)90414-6

Cited by 13 publications

(2 citation statements)

References 43 publications

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“…When a drain inadvertently punctures the duodenum, an external duodenal fistula can appear that can lead to the interruption of the intestinal continuity and leading to loss of intestinal contents, electrolyte disorders, sepsis and even death [ 1 , 4 , 5 ]. However, conservative management of duodenal injuries can be appropriate and successful if peritoneal signs are not present [ 1 , 4 , 5 ]. Bowel rest, supportive care, and withdrawal of the catheter without any surgery is possible if there is a mature tract developed, which can be confirmed through a fistulography with contrast [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…This approach proved effective for our patient. If signs of peritonitis develop, urgent surgery is usually necessary [ 1 , 3 , 5 ], a course of action avoided in our case as the patient was completely asymptomatic. There are various reports of duodenum puncture during percutaneous nephrolithotomy or endoscopic treatments that were managed similarly to our case, with conservative therapy [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Duodenal perforation after percutaneous fluid drainage, a rare event: a case report

Moyón

Molina

Crisanto

et al. 2020

Journal of Surgical Case Reports

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Abstract Duodenal perforations can be caused by surgical instruments during operations. These injuries can go initially unnoticed and lead to problematic complications. While uncommon, bowel perforation after percutaneous fluid drainage can severely impact the patient’s outcome. These can occur from equipment used for image-guided percutaneous drainage, a technique that has changed the way surgeons handle postoperative fluid collections and has become daily practice. Prompt recognition and timely treatment of these types of complications can minimize the consequences of this dreaded scenario. We present the case of a 29-year-old male, for whom an intra-abdominal collection was detected after laparoscopic cholecystectomy. CT-guided percutaneous drainage was performed, during which the catheter inadvertently punctured the duodenum. Surgical consultation was required and, since the patient remained asymptomatic, conservative management of the duodenal perforation was accomplished without complications. On follow-ups, the patient is doing well.

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